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CORPORACION DE S.M.Y.P. DE HATILLO
CH02126A CORPORACION DE SERVICOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
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Covered Entity Details
Entity Name
CORPORACION DE SERVICOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
Subdivision Name
CSM Arecibo Satellite Clinic
Type
HRSA-Funded Health Center
340B ID
CH02126A
Entity Address
450 Avenida Miramar
Arecibo, PR 00612
Grant Number
H80CS00334
Participating Start Date
4/1/2016
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
CORPORACION DE S.M.Y.P. DE HATILLO
Pharmacy Address
FARMACIA CSM ARECIBO
AVENIDA MIRAMAR PR 2 KM 77.1
DUHAMEL COMMERCIAL BUILDING LOCAL #8
ARECIBO, PR 00612
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lorena Torres Mercado, CEO
(787) 898-4190 Ext: 406
Contract Pharmacy Representative
CORPORACION DE SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
CARMELO NISTAL, PHARMACIST MANAGER
(787) 898-4190 Ext: 314
Signed By Date
1/11/2024
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