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AETNA SPECIALTY PHARMACY, LLC
CH027260 REFUAH HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
REFUAH HEALTH CENTER, INC.
Subdivision Name
REFUAH HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH027260
Entity Address
728 N MAIN ST
SPRING VALLEY, NY 10977
Grant Number
H80CS00281
Participating Start Date
7/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AETNA SPECIALTY PHARMACY, LLC
Pharmacy Address
503 SUNPORT LN
ORLANDO, FL 32809-7874
Pharmacy Comments
Contract Details
Approval Date
4/11/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/18/2021
Ownership change
Contacts
Covered Entity Signing Official
Chanie Sternberg, President/CEO
(845) 354-9300 Ext: 1205
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/11/2019
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