340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH06301C LA CLINICA DE FAMILIA, INC.
Print
Covered Entity Details
Entity Name
LA CLINICA DE FAMILIA, INC.
Subdivision Name
SAN MIGUEL MEDICAL & DENTAL CLINIC
Type
HRSA-Funded Health Center
340B ID
CH06301C
Entity Address
18420 S. Highway 28
SAN MIGUEL, NM 88058
Grant Number
H80CS00316
Participating Start Date
12/1/1992
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05274
2800 N MESA
EL PASO, TX 79902
Pharmacy Comments
Contract Details
Approval Date
4/12/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/27/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Suzan Martinez de Gonzales, CEO
(575) 526-1105
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session