Contract Pharmacy Details

NEW JERSEY CVS PHARMACY, L.L.C.
CH020070 HENRY J. AUSTIN HEALTH CENTER INC

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

NEW JERSEY CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 01967
1100 LIBERTY ST.
TRENTON, NJ 08611

Pharmacy Comments

Contract Details

Approval Date

4/15/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kemi Alli, Chief Executive Officer
(609) 278-5909

Contract Pharmacy Representative

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

Signed By Date

4/15/2020

340B Drug Pricing Program Database