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PARKWAY PHARMACY
CH027710 Atlanticare Health Services Inc
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Covered Entity Details
Entity Name
Atlanticare Health Services Inc
Subdivision Name
ATLANTICARE HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH027710
Entity Address
2500 ENGLISH CREEK ROAD BLDG C
EGG HARBOR TWP, NJ 08234-5549
Grant Number
H80CS00858
Participating Start Date
10/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PARKWAY PHARMACY
Pharmacy Address
2838 ATLANTIC AVE
ATLANTIC CITY, NJ 08401
Pharmacy Comments
Contract Details
Approval Date
10/1/2003
Contract Begin Date
10/1/2003
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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