Contract Pharmacy Details

MEDICINE SHOPPE PHARMACY
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

MEDICINE SHOPPE PHARMACY

Pharmacy Address

487 MARKET ST
SADDLE BROOK, NJ 07663

Pharmacy Comments

Contract Details

Approval Date

10/14/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/1/2018
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

Atif M. Alhout, Pharmacist in Charge
(201) 291-0844

Signed By Date

10/14/2016

340B Drug Pricing Program Database