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ECKERD CORPORATION
CH021270 COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
CompleteCare Adult & Specialty Medical Professionals
Type
HRSA-Funded Health Center
340B ID
CH021270
Entity Address
30 N Pearl St
BRIDGETON, NJ 08302
Grant Number
H80CS00164
Participating Start Date
1/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ECKERD CORPORATION
Pharmacy Address
RITE AID #10484
1070 NORTH PEARL STREET
BRIDGETON, NJ 08302
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gilbert Walter, CEO
(856) 391-1127
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/11/2013
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