340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

OVERLAKE PHARMACY, LLC
CH021270 COMMUNITY HEALTH CARE, INC.

Covered Entity Details

CompleteCare Adult & Specialty Medical Professionals
HRSA-Funded Health Center
CH021270
30 N Pearl St
BRIDGETON, NJ 08302
H80CS00164
1/1/2001
2/6/2024


Pharmacy Details

4124 148TH AVE NE STE JA
REDMOND, WA 98052

Contract Details

10/19/2021
1/1/2022


Contacts


James C. Edwards, CEO
(856) 451-4700 Ext: 2070



Overlake Pharmacy LLC
Thao Phan, Pharmacist in Charge
(425) 968-8766
10/19/2021