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WASHINGTON SHOP PHARMACY
RWI07101 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
Ryan White Part A
340B ID
RWI07101
Entity Address
140 Bergen Street
ACC, D- Level, Room D1725
Newark, NJ 07103-0000
Grant Number
H89HA00003
Participating Start Date
1/1/2015
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WASHINGTON SHOP PHARMACY
Pharmacy Address
ATTN: UMESH R
90 WASHINGTON ST
EAST ORANGE, NJ 07017
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283
Contract Pharmacy Representative
Washington Shop
Umesh Patel, Manager/Owner
(973) 676-0800
Signed By Date
10/15/2019
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