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GIANNOTTO'S PHARMACY
CH02050C NEWARK COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
NEWARK COMMUNITY HEALTH CENTERS INC
Subdivision Name
NORTH NEWARK HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02050C
Entity Address
751 BROADWAY
NEWARK, NJ 07104-4309
Grant Number
H80CS00062
Participating Start Date
1/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GIANNOTTO'S PHARMACY
Pharmacy Address
195 1ST AVE W
NEWARK, NJ 07107-2618
Pharmacy Comments
Contract Details
Approval Date
12/15/2009
Contract Begin Date
12/15/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/26/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
BENITA BROWN, SR MANAGER
(973) 483-1300 Ext: 1346
Contract Pharmacy Representative
TRUSHAR SHETH, RPH-IN-CHARGE
(973) 482-8220
Signed By Date
9/25/2009
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