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HOME TOWNE RX STORE # 2
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
HOME TOWNE RX STORE # 2
Pharmacy Address
ZOOBEEDU, INC
635 S. CLINTON AVE
SUITE 400
TRENTON, NJ 08611
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
Aisha Bhate, Pharmacist in Charge
(786) 205-1384
Signed By Date
10/14/2016
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