340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMACY 575
CAH321305-00 NOR-LEA GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
NOR-LEA GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321305-00
Entity Address
1600 N. MAIN AVE
LOVINGTON, NM 88260
Medicare Provider Number
321305
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
PHARMACY 575
Pharmacy Address
305 E SANGER ST
SUITE 600
HOBBS, NM 88240
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALLYSON ROBERTS, CFO
(575) 396-6611 Ext: 1126
Contract Pharmacy Representative
Pharmacy 575
John Mezger, Pharmacist
(575) 263-2908
Signed By Date
10/12/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session