340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COORDINATED CARE NETWORK PHARMACY
STD075051 Hyacinth AIDS Foundation
Print
Covered Entity Details
Entity Name
Hyacinth AIDS Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD075051
Entity Address
100 Hamilton Plaza, 14th Floor
Paterson, NJ 07505
Grant Number
NH25PS005174-05-06
Participating Start Date
1/1/2019
Last Recertification Date
5/16/2024
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
268 MARTIN LUTHER KING JR. BLVD.
NEWARK, NJ 07102
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathy Ahearn-O'Brien, Executive Director
(732) 246-0204
Contract Pharmacy Representative
CCN Pharmacy
Lou Montefiori, VP, Sales and Marketing
(412) 303-1604
Signed By Date
4/15/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session