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Presbyterian Specialty Care Pharmacy
CAH321306-00 LINCOLN COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
LINCOLN COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321306-00
Entity Address
211 SUDDERTH
RUIDOSO, NM 88345
Medicare Provider Number
321306
Participating Start Date
1/1/2011
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
Presbyterian Specialty Care Pharmacy
Pharmacy Address
5901 HARPER DR. NE
ALBUQUERQUE, NM 87109
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
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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