340B Drug Pricing Program Database
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RWI08861 Early Intervention Program (Active)
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Main Details
Name
Early Intervention Program
Subdivision Name
Type
Ryan White Part A
340B ID
RWI08861
Grant Number
H89HA00049-29-02
Additional Details
Current Program Status
Active
Registration Date
10/7/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/30/2024
Last Recertification Date
2/14/2025
Time Period the Assistance was Received
3/1/2024 - 4/30/2025
Contacts
Authorizing Official
Early Intervention Program
karyn berk, registered nurse
(732) 324-5022
Primary Contact
Hackensack Meridian Health
Sheba Saggu, 340B Program Manager
(732) 324-4909
Addresses
Street Address
500 Lawrie Street
Perth Amboy, NJ 08861
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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