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WALGREEN CO.
HV00130 UNM TRUMAN HEALTH SERVICES
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Covered Entity Details
Entity Name
UNM TRUMAN HEALTH SERVICES
Subdivision Name
Type
Ryan White Part C
340B ID
HV00130
Entity Address
801 Encino Place NE
Building F
ALBUQUERQUE, NM 87102
Grant Number
H76HA00130-34-00
Participating Start Date
7/1/2010
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #05350
1835 N MAIN STREET
ROSWELL, NM 88201
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marjorie Goldstein, CFO
(505) 272-3558
Contract Pharmacy Representative
Truman
Sam Sanchez, Director, Pharmacy Services
(505) 925-0988
Signed By Date
7/14/2021
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