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SHOPRITE PHARMACY
CH02127A COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
VINELAND HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02127A
Entity Address
319 LANDIS AVENUE
VINELAND, NJ 08360
Grant Number
H80CS00164
Participating Start Date
4/1/2002
Last Recertification Date
2/17/2017
Entity Termination Date
7/1/2017
Pharmacy Details
Pharmacy Name
SHOPRITE PHARMACY
Pharmacy Address
1255 W. LANDIS AVE
VINELAND, NJ 08360
Pharmacy Comments
Contract Details
Approval Date
8/4/2009
Contract Begin Date
8/4/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Contacts
Covered Entity Signing Official
ROBERT C. MORAN Jr., VICE PRESIDENT AND COO
(856) 455-4700
Contract Pharmacy Representative
JOE MONTOTO, RX BUS. & TRADE/GOV. AFFAIRS ADMINISTRATION
(732) 521-8445
Signed By Date
6/16/2009
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