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SHOPRITE PHARMACY
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
SHOPRITE PHARMACY
Pharmacy Address
1000 NORTH PEARL ST.
UPPER DEERFIELD, NJ 08302
Pharmacy Comments
Contract Details
Approval Date
4/21/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James C. Edwards, CEO
(856) 451-4700 Ext: 2070
Contract Pharmacy Representative
JOE MONTOTO, RX BUS. & TRADE/GOV. AFFAIRS ADMINISTRATION
(732) 521-8445
Signed By Date
4/21/2017
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