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ISLAND INFUSION PHARMACY INC
CH02103A COSTA SALUD COMMUNITY HEALTH CENTERS INC.
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Covered Entity Details
Entity Name
COSTA SALUD COMMUNITY HEALTH CENTERS INC.
Subdivision Name
Costa Salud Community Health Centers- AGUADA
Type
HRSA-Funded Health Center
340B ID
CH02103A
Entity Address
106 Calle Colon
AGUADA, PR 00602
Grant Number
H80CS00356
Participating Start Date
1/1/2016
Last Recertification Date
2/11/2025
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
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susana M. Perez, Executive Director
(787) 823-5555 Ext: 180
Contract Pharmacy Representative
Island Infusion
Rafael Rivera, Administrator
(787) 787-0209
Signed By Date
7/15/2024
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