Contract Pharmacy Details

RITE AID OF NEW JERSEY, INC.
CH027670 VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT

Covered Entity Details

Entity Name

VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT

Subdivision Name

VNACJ Community Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH027670

Entity Address

1301 Main St
Asbury Park, NJ 07712-5359

Grant Number

H80CS00874

Participating Start Date

10/1/2004

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

RITE AID OF NEW JERSEY, INC.

Pharmacy Address

RITE AID #695
1360 ROUTE 36
HAZLET, NJ 07730

Pharmacy Comments

Contract Details

Approval Date

10/17/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/16/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

THOMAS THEES, ED
(732) 502-5151

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

10/17/2018

340B Drug Pricing Program Database