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BILLSTRA PHARMACY
STD075051 Hyacinth AIDS Foundation
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Covered Entity Details
Entity Name
Hyacinth AIDS Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD075051
Entity Address
100 Hamilton Plaza, 14th Floor
Paterson, NJ 07505
Grant Number
NH25PS005174-05-08
Participating Start Date
1/1/2019
Last Recertification Date
5/13/2025
Pharmacy Details
Pharmacy Name
BILLSTRA PHARMACY
Pharmacy Address
608 21ST AVE
PATERSON, NJ 07513
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathy Ahearn-O'Brien, Executive Director
(732) 246-0204
Contract Pharmacy Representative
Billistra Pharmacy, LLC
Chirag Gajjar, Executive Manager
(973) 279-2200
Signed By Date
4/15/2019
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