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SW MESA CENTER FOR FAMILY AND COMMUNITY
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
SW MESA CENTER FOR FAMILY AND COMMUNITY
Pharmacy Address
301 UNSER BLVD NW
STE 106
ALBUQUERQUE, NM 87121-1927
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROBERT DEFELICE, CEO
(505) 873-7401
Contract Pharmacy Representative
UNM Hospitals
Frieda Ortega, Director of Pharmacy-Outpatient Pharmacy Services
(505) 272-0526
Signed By Date
4/15/2015
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