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WALGREEN CO.
HV00130A 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
HV00130A
Entity Address
801 Encino Place NE Building A6
Albuquerque, NM 87102
Grant Number
H76HA00130-34-00
Participating Start Date
7/1/2021
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #15033
3401 ISLETA BOULEVARD SW
ALBUQUERQUE, NM 87105
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
Jill C. Klar, Chief Operating Officer
(505) 301-8069
Contract Pharmacy Representative
Truman
Sam Sanchez, Director, Pharmacy Services
(505) 925-0988
Signed By Date
10/14/2021
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