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NEW JERSEY CVS PHARMACY, L.L.C.
CH020930 SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
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Covered Entity Details
Entity Name
SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH020930
Entity Address
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037-2018
Grant Number
H80CS00380
Participating Start Date
9/9/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NEW JERSEY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05767
25 PEMBERTON BROWNS MILL RD
BROWNS MILLS, NJ 08015
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/6/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
LINDA Y. FLAKE, CEO
(609) 567-0434 Ext: 4116
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2017
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