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WALGREEN EASTERN CO., INC.
CH027000 Central Jersey Medical Center Inc.
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Covered Entity Details
Entity Name
Central Jersey Medical Center Inc.
Subdivision Name
Central Jersey Medical Center Inc.
Type
HRSA-Funded Health Center
340B ID
CH027000
Entity Address
275 Hobart St
Perth Amboy, NJ 08861-4310
Grant Number
H80CS00253
Participating Start Date
1/1/2005
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 03379
61 FERRY ST
NEWARK, NJ 07105
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul McCloud, CFO
(732) 376-6602
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2014
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