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WALGREEN CO.
CH060240 FIRST CHOICE COMMUNITY HEALTHCARE
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Covered Entity Details
Entity Name
FIRST CHOICE COMMUNITY HEALTHCARE
Subdivision Name
FIRST CHOICE COMMUNITY HEALTH CARE
Type
HRSA-Funded Health Center
340B ID
CH060240
Entity Address
2001 NORTH CENTRO FAMILIAR BOU
ALBUQUERQUE, NM 87105-0000
Grant Number
H80CS00202
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07438
5850 EUBANK BLVD NE
A101
ALBUQUERQUE, NM 87111
Pharmacy Comments
Contract Details
Approval Date
5/7/2012
Contract Begin Date
5/7/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Defelice, CEO
(505) 873-7401
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/9/2012
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