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WALGREEN CO.
STD882011 UNM Truman Health Services Roswell
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Covered Entity Details
Entity Name
UNM Truman Health Services Roswell
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD882011
Entity Address
601 West Country Club Road Ste. 102
Roswell, NM 88201
Grant Number
1 NH25PS005180-01-00
Participating Start Date
7/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16544
933 SAN MATEO BLVD NE STE 501
ALBUQUERQUE, NM 87108
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jill C. Klar, Chief Operating Officer
(505) 301-8069
Contract Pharmacy Representative
Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033
Signed By Date
4/15/2025
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