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BAYSHORE HOME CARE PHARMACY
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
BAYSHORE HOME CARE PHARMACY
Pharmacy Address
733 N BEERS ST STE L1
HOLMDEL, NJ 07733
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
GARY LININGTON, CEO
(732) 224-6992
Contract Pharmacy Representative
Ritesh Shah, President
(732) 888-0303
Signed By Date
10/14/2014
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