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DEVINES PHARMACY 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
DEVINES PHARMACY INC
Pharmacy Address
1949 OAK TREE RD
EDISON, NJ 08820-2036
Pharmacy Comments
Contract Details
Approval Date
10/9/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/13/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Paul McCloud, CFO
(732) 376-6602
Contract Pharmacy Representative
Devines Pharmacy
Robert Riedinger, Owner
(732) 549-7117
Signed By Date
10/9/2014
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