340B Drug Pricing Program Database

Pharmacy Name

SMITH'S PHARMACY #448

Pharmacy Address

8301 GOLF COURSE RD NW
ALBUQUERQUE, NM 87120-5801

Pharmacy Comments

Approval Date

1/16/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DALE MAXWELL, SENIOR VP & CFO
(505) 923-5353

Contract Pharmacy Representative

Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672

Signed By Date

1/16/2014