Contract Pharmacy Details

VINELAND PHARMACY
CH02127A COMMUNITY HEALTH CARE, INC.

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

VINELAND PHARMACY

Pharmacy Address

315 WEST LANDIS AVENUE
VINELAND, NJ 08360

Pharmacy Comments

Contract Details

Approval Date

1/20/2012

Contract Begin Date

1/25/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2017

Contacts

Covered Entity Signing Official

Colleen DiClaudio, Vice President of Business Operations
(856) 391-4810

Contract Pharmacy Representative

Hiren Patel, Person In Charge
(856) 457-5171

Signed By Date

1/19/2012

340B Drug Pricing Program Database