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WALGREEN ARIZONA DRUG CO.
CH060240 FIRST CHOICE COMMUNITY HEALTHCARE
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Covered Entity Details
Entity Name
FIRST CHOICE COMMUNITY HEALTHCARE
Subdivision Name
FIRST CHOICE COMMUNITY HEALTH CARE
Type
HRSA-Funded Health Center
340B ID
CH060240
Entity Address
2001 NORTH CENTRO FAMILIAR BOU
ALBUQUERQUE, NM 87105-0000
Grant Number
H80CS00202
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
WALGREENS CENTRAL FILL #21372
120 N 83RD AVE
STE 200
TOLLESON, AZ 85353
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert DeFelice, CEO
(505) 873-7401
Contract Pharmacy Representative
Walgreen Co.
Scot Krivanek, Sr. Analyst, 340B Client Relationship-Southwest Region
(847) 964-6704
Signed By Date
10/14/2021
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