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HEALTH CENTER PHARMACY
CH02050A NEWARK COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
NEWARK COMMUNITY HEALTH CENTERS INC
Subdivision Name
DAYTON STREET HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02050A
Entity Address
101 Ludlow St
Newark, NJ 07114-1108
Grant Number
H80CS00062
Participating Start Date
1/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HEALTH CENTER PHARMACY
Pharmacy Address
6200 BERGENLINE AVE
WEST NEW YORK, NJ 07093
Pharmacy Comments
Contract Details
Approval Date
10/17/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/26/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
PAMELA CLARKE, PRESIDENT/CEO
(973) 483-1300 Ext: 1302
Contract Pharmacy Representative
Health Care Pharmacy
Hemil Khandwala, President
(973) 865-6577
Signed By Date
10/17/2013
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