340B Drug Pricing Program Database
OLSHINS PHARMACY
FQHCLA436 Ironbound Community Health Center Inc. - information as of 6/9/2025 11:28:20 PM
Covered Entity Details
Entity Name
Ironbound Community Health Center Inc.
Subdivision Name
Hope & Esperanza Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA436
Entity Address
788 Mount Prospect Ave Fl 2
Newark, NJ 07104-3221
Grant Number
LALCS46446
Participating Start Date
9/28/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OLSHINS PHARMACY
Pharmacy Address
114 CONGRESS ST
NEWARK, NJ 07105
Pharmacy Comments
Contract Details
Approval Date
10/1/2022
Contract Begin Date
10/17/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michelle Lolo, CEO
(973) 433-9773
Contract Pharmacy Representative
Olshins Pharmacy Inc
Joel Grodman, Pharmacist
(973) 344-9000
Signed By Date
10/1/2022
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