Contract Pharmacy Details

KINGS PHARMACY
CH027000 Central Jersey Medical Center Inc.

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

KINGS PHARMACY

Pharmacy Address

33 PARK AVENUE
NEWARK, NJ 07104-0710

Pharmacy Comments

Contract Details

Approval Date

4/8/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/14/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Paul McCloud, CFO
(732) 376-6602

Contract Pharmacy Representative

George Malek, Pharmacist
(973) 482-1556

Signed By Date

4/8/2014

340B Drug Pricing Program Database