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ISLAND INFUSION PHARMACY INC
CH02065L SALUD INTEGRAL EN LA MONTANA INC
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Covered Entity Details
Entity Name
SALUD INTEGRAL EN LA MONTANA INC
Subdivision Name
CSI Corozal 3
Type
HRSA-Funded Health Center
340B ID
CH02065L
Entity Address
159 Street Km.3.9
Corozal, PR 00783
Grant Number
H80CS00598
Participating Start Date
7/1/2025
Last Recertification Date
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
4/16/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gloria Del Carmen Amador, CEO
(787) 869-5900 Ext: 1111
Contract Pharmacy Representative
Island Infusion Pharmacy
Rafael Rivera, Administrator
(787) 393-0040
Signed By Date
4/14/2025
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