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HOBOKEN FAMILY PHARMACY
CH024490 NORTH HUDSON COMMUNITY ACTION CORPORATION
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Covered Entity Details
Entity Name
NORTH HUDSON COMMUNITY ACTION CORPORATION
Subdivision Name
North Hudson Community Action Corporation @ West New York
Type
HRSA-Funded Health Center
340B ID
CH024490
Entity Address
5301 BROADWAY
WEST NEW YORK, NJ 07093-2622
Grant Number
H80CS00521
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOBOKEN FAMILY PHARMACY
Pharmacy Address
307 1ST ST
HOBOKEN, NJ 07030-2431
Pharmacy Comments
Contract Details
Approval Date
10/25/2012
Contract Begin Date
10/25/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/8/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christopher Irizarry, President/CEO
(201) 210-0100
Contract Pharmacy Representative
Jaffer Shahid, Pharmacist
(201) 420-7777
Signed By Date
9/21/2012
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