Contract Pharmacy Details

NEW JERSEY CVS PHARMACY, L.L.C.
STD071033 Rutgers, The State University of New Jersey

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

NEW JERSEY CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00955
430 WESTFIELD AVENUE
ELIZABETH, NJ 07208

Pharmacy Comments

Contract Details

Approval Date

1/14/2020

Contract Begin Date

4/1/2020

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

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/14/2020

340B Drug Pricing Program Database