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SOUTHWEST CARE CENTER
RWIID875013 NEW MEXICO DEPARTMENT OF HEALTH
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Covered Entity Details
Entity Name
NEW MEXICO DEPARTMENT OF HEALTH
Subdivision Name
Public Health Division
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID875013
Entity Address
5300 Homestead Road NE
Room 142
Albuquerque, NM 87110
Grant Number
X07HA00084
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SOUTHWEST CARE CENTER
Pharmacy Address
4710 JEFFERSON ST NE STE A
ALBUQUERQUE, NM 87109-2156
Pharmacy Comments
Contract Details
Approval Date
4/15/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Andrew A Gans, Infectious Disease Bureau Chief
(505) 479-1187
Contract Pharmacy Representative
Southwest CARE Center
Brianna Harrand, Director of Pharmacy Services
(505) 955-9454 Ext: 1018
Signed By Date
4/15/2017
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