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J & J PHARMACY
RWI07103 North Jersey AIDS Alliance dba North Jersey Community Research Initiative (NJCRI)
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Covered Entity Details
Entity Name
North Jersey AIDS Alliance dba North Jersey Community Research Initiative (NJCRI)
Subdivision Name
Type
Ryan White Part A
340B ID
RWI07103
Entity Address
393 Central Avenue
Newark, NJ 07103
Grant Number
H89HA00003
Participating Start Date
7/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
J & J PHARMACY
Pharmacy Address
527 CEDAR LN
TEANECK, NJ 07666-1710
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/10/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian McGovern, CEO
(973) 849-0084
Contract Pharmacy Representative
J and J State Street Pharmacy
Michael Fedida, President
(201) 836-7003
Signed By Date
10/15/2018
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