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WALGREEN EASTERN CO., INC.
STD079501 EDGE New Jersey
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Covered Entity Details
Entity Name
EDGE New Jersey
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD079501
Entity Address
35 WATERVIEW BLVD
Ste. 201
Parsippany, NJ 07054
Grant Number
NU62PS924524-04-01
Participating Start Date
4/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 02470
45 EISENHOWER PKWY
ROSELAND, NJ 07068-1607
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laurie Litt, Chief Executive Officer
(973) 285-0006 Ext: 15
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2020
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