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MAPLE RX NY 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
MAPLE RX NY LLC
Pharmacy Address
DBA: MAPLE PHARMACY
59 ROUTE 59 STE 143
MONSEY, NY 10952-3536
Pharmacy Comments
Contract Details
Approval Date
7/9/2020
Contract Begin Date
7/9/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
CE terminated due to audit finding
Contacts
Covered Entity Signing Official
Chanie Sternberg, President/CEO
(845) 354-9300 Ext: 1205
Contract Pharmacy Representative
Maple RX NY LLC
Moses Werzberger, Owner
(845) 371-6464
Signed By Date
7/9/2020
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