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MEDLY PHARMACY
CH0217710 METROPOLITAN FAMILY HEALTH NETWORK INC.
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Covered Entity Details
Entity Name
METROPOLITAN FAMILY HEALTH NETWORK INC.
Subdivision Name
METROPOLITAN FAMILY HEALTH NETWORK
Type
HRSA-Funded Health Center
340B ID
CH0217710
Entity Address
935 Garfield Ave
Jersey City, NJ 07304-2731
Grant Number
H80CS07588
Participating Start Date
4/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MEDLY PHARMACY
Pharmacy Address
40 W MAIN ST
SOMERVILLE, NJ 08876
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joan Dublin, CEO
(201) 478-5802
Contract Pharmacy Representative
Medly Pharmacy
Nate Coney, VP
(609) 992-9692
Signed By Date
7/12/2019
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