Contract Pharmacy Details

RITE AID OF NEW JERSEY, INC.
CH020930 SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.

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

RITE AID OF NEW JERSEY, INC.

Pharmacy Address

RITE AID #4879
108 EAST ROUTE 130 S
BURLINGTON, NJ 08016

Pharmacy Comments

Contract Details

Approval Date

4/18/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

LINDA Y. FLAKE, CEO
(609) 567-0434 Ext: 4116

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

4/18/2017

340B Drug Pricing Program Database