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WAL-MART PHARMACY 10-2656
CH063920 LA FAMILIA MEDICAL CENTER INC
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Covered Entity Details
Entity Name
LA FAMILIA MEDICAL CENTER INC
Subdivision Name
La Famila Medical Center Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH063920
Entity Address
6401 S Richards Ave
Santa Fe, NM 87508-4887
Grant Number
H80CS00606
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2656
Pharmacy Address
1610 N RIVERSIDE DRIVE
ESPANOLA, NM 87532
Pharmacy Comments
Contract Details
Approval Date
6/1/2023
Contract Begin Date
6/2/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/10/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Julie Kay Wright, CEO
(505) 982-4425
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
6/1/2023
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