340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH06031F LAS CLINICA DEL NORTE INCORPORATED
Print
Covered Entity Details
Entity Name
LAS CLINICA DEL NORTE INCORPORATED
Subdivision Name
Las Clinicas Del Norte, Inc Pojoaque Valley School Based Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH06031F
Entity Address
1574 State Road 502
Santa Fe, NM 87506-2697
Grant Number
H80CS00607
Participating Start Date
10/1/2013
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16544
933 SAN MATEO BLVD NE STE 501
ALBUQUERQUE, NM 87108
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrea Sandoval, CEO
(575) 581-4728 Ext: 253
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/16/2018
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