340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ISLAND INFUSION PHARMACY INC
CH020910 CAMUY HEALTH SERVICES, INC.
Print
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
ISLAND INFUSION PHARMACY INC
Pharmacy Address
ISLAND INFUSION PHARMACY
123 CALLE RODRIGO DE TRIANA
URB EL VEDADO
SAN JUAN, PR 00918
Pharmacy Comments
Contract Details
Approval Date
7/8/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eddie Perez Caban, CEO
(787) 898-2660 Ext: 247
Contract Pharmacy Representative
Island Infunsion Pharmacy Inc
Rafael Rivera, Administrador
(787) 787-0209
Signed By Date
7/8/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session