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HAZLET PHARMACY INC
CH027670 VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT
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Covered Entity Details
Entity Name
VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT
Subdivision Name
VNACJ Community Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH027670
Entity Address
1301 Main St
Asbury Park, NJ 07712-5359
Grant Number
H80CS00874
Participating Start Date
10/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HAZLET PHARMACY INC
Pharmacy Address
2874 HIGHWAY 35 SOUTH
HAZLET, NJ 07730
Pharmacy Comments
Contract Details
Approval Date
4/23/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Covered Entity Terminated
Contacts
Covered Entity Signing Official
GARY LININGTON, CEO
(732) 224-6992
Contract Pharmacy Representative
Gerald Jackapino, Owner
(732) 264-3310
Signed By Date
4/23/2013
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