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WALGREEN EASTERN CO 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
WALGREEN EASTERN CO INC
Pharmacy Address
DBA: WALGREENS #13717
375 STATE ROUTE 36
PORT MONMOUTH, NJ 07758
Pharmacy Comments
Contract Details
Approval Date
10/14/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GARY LININGTON, CEO
(732) 224-6992
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2013
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