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PHARMACEUTICAL PRESCRIPTION SERVICE, LLC
CH023480 HORIZON HEALTH CENTER INC
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Covered Entity Details
Entity Name
HORIZON HEALTH CENTER INC
Subdivision Name
HORIZON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH023480
Entity Address
714 Bergen Ave
Jersey City, NJ 07306-4802
Grant Number
H80CS19534
Participating Start Date
4/1/2005
Last Recertification Date
2/2/2019
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
PHARMACEUTICAL PRESCRIPTION SERVICE, LLC
Pharmacy Address
155 JEFFERSON ST
NEWARK, NJ 07105-1706
Pharmacy Comments
Contract Details
Approval Date
11/10/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Marilyn Cintron, Chief Executive Officer
(201) 209-2301
Contract Pharmacy Representative
Rita Friedman, President
(973) 491-9000
Signed By Date
11/10/2015
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