Contract Pharmacy Details

QUICK STOP PHARMACY
STD071033 Rutgers, The State University of New Jersey

Covered Entity Details

Entity Name

Rutgers, The State University of New Jersey

Subdivision Name

RBHS - New Jersey Medical School

Type

Sexually Transmitted Diseases

340B ID

STD071033

Entity Address

140 Bergen Street
ACC, D-Level, Room D1725
NewarK, NJ 07103-0000

Grant Number

NH25PS005174-06

Participating Start Date

10/1/2019

Last Recertification Date

5/9/2024

Pharmacy Details

Pharmacy Name

QUICK STOP PHARMACY

Pharmacy Address

ARC CORE PHARMACY LLC
198 MARKET STREET
NEWARK, NJ 07102

Pharmacy Comments

Contract Details

Approval Date

9/4/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/21/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283

Contract Pharmacy Representative

Metro Pharmacy
Shankar Donepudi, Manager/Owner
(973) 424-0045

Signed By Date

7/15/2019

340B Drug Pricing Program Database