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FARMACIA REY - PHARMACARE INC
CHC22687-00 CORP DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA, INC. S.A.N.O.S.
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Covered Entity Details
Entity Name
CORP DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA, INC. S.A.N.O.S.
Subdivision Name
SANOS Primary Health Center
Type
HRSA-Funded Health Center
340B ID
CHC22687-00
Entity Address
Rafael Cordero Avenue with Troche Street
Caguas, PR 00725
Grant Number
H80CS22687
Participating Start Date
4/1/2012
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
FARMACIA REY - PHARMACARE INC
Pharmacy Address
PHARMACARE, INC.
AVE. RAFAEL CORDERO
FINAL ESQ. TROCHE Y SANTIAGO
CAGUAS, PR 00725
Pharmacy Comments
Contract Details
Approval Date
7/8/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/7/2018
Ownership change
Contacts
Covered Entity Signing Official
Cesar Montijo, CEO
(787) 745-0340 Ext: 237
Contract Pharmacy Representative
JUAN REYNOSO, PRESIDENT
(787) 743-0530
Signed By Date
7/8/2016
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