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CH02771A Atlanticare Health Services Inc (Terminated)
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Main Details
Name
Atlanticare Health Services Inc
Subdivision Name
ATLANTICARE HEALTH SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004043
340B ID
CH02771A
Grant Number
H80CS00858
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
3/25/2005
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
AtlantiCare Health Services
Sandy Lee Festa, Director, CEO
(609) 572-6051
Primary Contact
Atlanticare
Steven Moscola, AVP Ambulatory Pharmacy Services
(609) 404-7443
Addresses
Street Address
2009 Bacharach Blvd
Atlantic City, NJ 08401-3003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORRECTION - REPLACES HO02771A
10/01/2003
April 2025
April 2025
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