Contract Pharmacy Details

WALGREEN EASTERN CO., INC.
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

WALGREEN EASTERN CO., INC.

Pharmacy Address

DBA: WALGREENS #12064
361 BERGEN ST.
NEWARK, NJ 07103

Pharmacy Comments

Contract Details

Approval Date

7/11/2014

Contract Begin Date

10/1/2014

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

7/11/2014

340B Drug Pricing Program Database