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RAPPS LTC PHARMACY
CH020070 HENRY J. AUSTIN HEALTH CENTER INC
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Covered Entity Details
Entity Name
HENRY J. AUSTIN HEALTH CENTER INC
Subdivision Name
Henry J. Austin Health Center - Warren
Type
HRSA-Funded Health Center
340B ID
CH020070
Entity Address
321 N Warren St.
Trenton, NJ 08618-4741
Grant Number
H80CS00531
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
RAPPS LTC PHARMACY
Pharmacy Address
680 BOUND BROOK RD
MIDDLESEX, NJ 08846-2109
Pharmacy Comments
Contract Details
Approval Date
10/17/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kemi Alli, Chief Executive Officer
(609) 278-5909
Contract Pharmacy Representative
Rapps Pharmacy
Hitesh Patel, Pharmacy Manager
(908) 756-0008
Signed By Date
10/17/2019
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