Contract Pharmacy Details

LIFE INFUSIONS CORP.
CH027260 REFUAH HEALTH CENTER, INC.

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

LIFE INFUSIONS CORP.

Pharmacy Address

1500 ASTOR AVE FL 2B
SUITE 2B
BRONX, NY 10469-5900

Pharmacy Comments

Contract Details

Approval Date

7/9/2024

Contract Begin Date

10/1/2024

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

Life Specialty Solutions, LLC
Elan Guttman, President
(212) 813-3396

Signed By Date

7/9/2024

340B Drug Pricing Program Database