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RITE AID OF NEW JERSEY, INC.
CH027670 VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT
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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 #1778
596 SHREWSBURY AVENUE
TINTON FALLS, NJ 07701
Pharmacy Comments
Contract Details
Approval Date
10/17/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
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
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