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SMITHS FOOD AND DRUG CENTERS, INC. - #429
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
SMITHS FOOD AND DRUG CENTERS, INC. - #429
Pharmacy Address
2620 Carlisle Blvd. NE
Albuquerque, NM 87110
Pharmacy Comments
Contract Details
Approval Date
5/1/2000
Contract Begin Date
5/1/2000
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/23/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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