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RMC PHARMACY
STD071033 Rutgers, The State University of New Jersey
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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
RMC PHARMACY
Pharmacy Address
AMRITA HEALTHCARE, LLC
236 S ORANGE AVE
NEWARK, NJ 07103-2459
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2023
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
United Drugs
Siva Tallvajhala, President
(973) 528-8510
Signed By Date
10/9/2019
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