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LIBERTY 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
LIBERTY PHARMACY
Pharmacy Address
SVS PHARMACY INC
13 TENAFLY RD
ENGLEWOOD, NJ 07631-2209
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
4/1/2017
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
Rama Maddukuri, Pharmacist
(201) 568-7868
Signed By Date
7/18/2013
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