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WALGREEN EASTERN CO., INC.
CH02149C RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
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Covered Entity Details
Entity Name
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Subdivision Name
Eric B. Chandler Health Center
Type
HRSA-Funded Health Center
340B ID
CH02149C
Entity Address
123 Church St
New Brunswick, NJ 08901-2001
Grant Number
H80CS26763
Participating Start Date
7/1/2006
Last Recertification Date
2/4/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #09932
81 PLAINFIELD AVE.
EDISON, NJ 08817
Pharmacy Comments
Contract Details
Approval Date
10/22/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sandra Hill, Executive Director
(732) 235-9099
Contract Pharmacy Representative
Walgreen
Anita Sokol, Account Manager
(718) 776-8116
Signed By Date
10/22/2018
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