340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3423
CH06392B LA FAMILIA MEDICAL CENTER INC
Print
Covered Entity Details
Entity Name
LA FAMILIA MEDICAL CENTER INC
Subdivision Name
LA FAMILIA - SOUTHSIDE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH06392B
Entity Address
2145 Caja Del Oro Grant Rd
Santa Fe, NM 87507-3279
Grant Number
H80CS00606
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3423
Pharmacy Address
5701 HERRERA DRIVE
SANTA FE, NM 87507
Pharmacy Comments
Contract Details
Approval Date
6/1/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
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
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