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FARMACIA NUEVA
CH020910 CAMUY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
CAMUY HEALTH SERVICES, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH020910
Entity Address
MUNOZ RIVERA AVE. # 63
CAMUY, PR 00627
Grant Number
H80CS00489
Participating Start Date
4/1/1997
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
FARMACIA NUEVA
Pharmacy Address
CALLE MUNOZ RIVERA #16
CAMUY, PR 00627
Pharmacy Comments
Contract Details
Approval Date
1/12/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Eddie Perez Caban, CEO
(787) 898-2660 Ext: 247
Contract Pharmacy Representative
Farmacia Nueva
Grisele Delgado, Dueña
(787) 820-6892
Signed By Date
1/12/2021
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