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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
ALLIANCE PA PHARMACY, LLC.
CH02348C Alliance Community Healthcare Inc.
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Covered Entity Details
Entity Name
Alliance Community Healthcare Inc.
Subdivision Name
Alliance Community Healthcare Inc.
Type
HRSA-Funded Health Center
340B ID
CH02348C
Entity Address
115 Christopher Columbus Dr
Jersey City, NJ 07302-5526
Grant Number
H80CS19534
Participating Start Date
7/1/2012
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
ALLIANCE PA PHARMACY, LLC.
Pharmacy Address
1235 PENN AVE STE 101
WYOMISSING, PA 19610-2100
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marilyn Cintron, Chief Executive Officer
(201) 209-2301
Contract Pharmacy Representative
Alliance PA Pharmacy, LLC
Brian Lewis, Vice President
(610) 376-3000
Signed By Date
4/12/2019
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