Contract Pharmacy Details

PRANAV PHARMA INC D/B/A HACKENSACK PHARM
CH024490 NORTH HUDSON COMMUNITY ACTION CORPORATION

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

PRANAV PHARMA INC D/B/A HACKENSACK PHARM

Pharmacy Address

441 PASSAIC STREET
HACKENSACK, NJ 07601

Pharmacy Comments

Contract Details

Approval Date

7/18/2013

Contract Begin Date

10/1/2013

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

Joan Quigley, President/CEO
(201) 210-0100 Ext: 10100

Contract Pharmacy Representative

Nannapanenni Danny, Manager
(201) 488-1230

Signed By Date

7/18/2013

340B Drug Pricing Program Database