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PAVONIA PHARMACY
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
PAVONIA PHARMACY
Pharmacy Address
PAVONIA PHARMACY
600 PAVONIA AVENUE
GROUND FLOOR
JERSEY CITY, NJ 07306-2929
Pharmacy Comments
Contract Details
Approval Date
10/11/2016
Contract Begin Date
1/1/2017
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
ATUL SHAH, PRESIDENT / OWNER
(201) 600-1705
Signed By Date
10/11/2016
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