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MEDLY PHARMACY
CHC33655-00 OSBORN FAMILY HEALTH CENTER, INC., THE
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Covered Entity Details
Entity Name
OSBORN FAMILY HEALTH CENTER, INC., THE
Subdivision Name
Osborn Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC33655-00
Entity Address
1601 Haddon Ave
Camden, NJ 08103-3109
Grant Number
H80CS33655
Participating Start Date
7/1/2020
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
MEDLY PHARMACY
Pharmacy Address
40 W MAIN ST
SOMERVILLE, NJ 08876
Pharmacy Comments
Contract Details
Approval Date
6/27/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/2/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
shawne cuilla, CEO
(856) 757-3706
Contract Pharmacy Representative
Medly Pharmacy
Nate Coney, VP
(609) 992-9692
Signed By Date
6/27/2020
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