Contract Pharmacy Details

CHEMIST CORNER INC.
CH02726D Refuah Health Center, Inc.

Covered Entity Details

Entity Name

Refuah Health Center, Inc.

Subdivision Name

REFUAH MOBILE VAN PROGRAM #1

Type

HRSA-Funded Health Center

340B ID

CH02726D

Entity Address

728 N MAIN ST
SPRING VALLEY, NY 10977

Grant Number

H80CS00281

Participating Start Date

10/1/2019

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

CHEMIST CORNER INC.

Pharmacy Address

59 ROUTE 59
MONSEY, NY 10952-1095

Pharmacy Comments

Contract Details

Approval Date

1/12/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Amanda Christina Salzman, Director of Public Affairs and Grants Administration
(620) 262-5550

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/12/2024

340B Drug Pricing Program Database