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Presbyterian Specialty Care Pharmacy
DSH320022 PLAINS REGIONAL MEDICAL CENTER - CLOVIS
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Covered Entity Details
Entity Name
PLAINS REGIONAL MEDICAL CENTER - CLOVIS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH320022
Entity Address
2100 NORTH DR MARTIN LUTHER KING JR BLVD
CLOVIS, NM 88101
Medicare Provider Number
320022
Participating Start Date
4/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
Presbyterian Specialty Care Pharmacy
Pharmacy Address
5901 HARPER DR. NE
ALBUQUERQUE, NM 87109
Pharmacy Comments
Contract Details
Approval Date
4/29/2011
Contract Begin Date
5/16/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/6/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROBERT GARCIA, VP-OPERATIONS, REGIONAL DELIVERY SYSTEM
(505) 923-5339
Contract Pharmacy Representative
Presbyterian Specialty Care Pharmacy
MATTHEW NAGY, ENTERPRISE WIDE DIRECTOR OF PHARMACY
(505) 841-1872
Signed By Date
4/15/2011
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