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LUIS D. PAGAN RIVERA DBAFARMACIA MEDICAL
CH02065C SALUD INTEGRAL EN LA MONTANA INC
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Covered Entity Details
Entity Name
SALUD INTEGRAL EN LA MONTANA INC
Subdivision Name
Centro de Salud Integral en Comerio
Type
HRSA-Funded Health Center
340B ID
CH02065C
Entity Address
Carr. 167, Calle Georgetti #18
Comerio, PR 00782-2539
Grant Number
H80CS00598
Participating Start Date
10/1/1996
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
LUIS D. PAGAN RIVERA DBAFARMACIA MEDICAL
Pharmacy Address
FARMACIA MEDICAL SOLUTIONS
CARR 779 KM 7.7 SECTOR QUILES BO. PALOMA
C/O 36 PLAZA LIAN URB. ESTANCIAS DE CER
COMERIO, PR 00782
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gloria Amador, CEO
(787) 869-5900
Contract Pharmacy Representative
Comerio Medical Solutions
Luis D Pagan, Owner
(787) 875-7016
Signed By Date
10/9/2019
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