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WALGREEN EASTERN CO., INC
CHC12855-00 MONMOUTH FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
MONMOUTH FAMILY HEALTH CENTER
Subdivision Name
Monmouth Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12855-00
Entity Address
270 Broadway
Long Branch, NJ 07740-0727
Grant Number
H80CS12855
Participating Start Date
10/14/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC
Pharmacy Address
WALGREENS #19996
205 MORRIS AVE
LONG BRANCH, NJ 07740
Pharmacy Comments
Contract Details
Approval Date
10/4/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marta C Silverberg, CEO
(732) 923-7145
Contract Pharmacy Representative
Walgreen Co.
Jeff Wieczorek, Analyst
(847) 964-8708
Signed By Date
10/4/2018
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