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SMITH'S FOOD & DRUG CTRS
CH06024D FIRST CHOICE COMMUNITY HEALTHCARE
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Covered Entity Details
Entity Name
FIRST CHOICE COMMUNITY HEALTHCARE
Subdivision Name
NORTH VALLEY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH06024D
Entity Address
1231 Candelaria Rd NW
Albuquerque, NM 87107-2767
Grant Number
H80CS00202
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
SMITH'S FOOD & DRUG CTRS
Pharmacy Address
SMITH'S PHARMACY #496
3701 CONSTITUTION NE
ALBUQUERQUE, NM 87110
Pharmacy Comments
Contract Details
Approval Date
5/2/2011
Contract Begin Date
5/2/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/13/2011
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