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RITE AID NEW JERSEY, INC.
CH020500 NEWARK COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
NEWARK COMMUNITY HEALTH CENTERS INC
Subdivision Name
NEWARK COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH020500
Entity Address
741 BROADWAY
NEWARK, NJ 07104-4309
Grant Number
H80CS00062
Participating Start Date
1/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RITE AID NEW JERSEY, INC.
Pharmacy Address
RITE AID #459
140-42 FERRY STREET
NEWARK, NJ 07105
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
1/1/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
PAMELA CLARKE, PRESIDENT/CEO
(973) 483-1300 Ext: 1302
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2018
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