Pharmacy Details

MAPLE RX NY LLC - information as of 5/29/2025 3:19:35 AM

Name
MAPLE RX NY LLC

Address

DBA: MAPLE PHARMACY
59 ROUTE 59 STE 143
MONSEY, NY 10952-3536

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH027260	REFUAH HEALTH CENTER, INC.	REFUAH HEALTH CENTER	HRSA-Funded Health Center	728 N MAIN ST		SPRING VALLEY	NY	07/09/2020	10/01/2021	10/13/2021 7:40 AM
Details	FQHCLA319	COMMUNITY MEDICAL AND DENTAL CARE, INC	Monsey Family Medical Center	Health Center Program Look-Alike	40 Robert Pitt Dr		Monsey	NY	07/01/2020		7/1/2020 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				5/29/2019 5:25 PM
Details	Is Deleted	Insert			False	5/29/2019 5:25 PM
Addresses	Pharmacy Address	Insert			MAPLE RX NY LLC DBA: MAPLE PHARMACY 59 ROUTE 59 STE 143 MONSEY, NY 10952-3536	5/29/2019 5:25 PM
Details	Name	Insert			MAPLE RX NY LLC	5/29/2019 5:25 PM