Contract Pharmacy Details

WALGREEN EASTERN CO., INC
CH027000 Central Jersey Medical Center Inc.

Covered Entity Details

Entity Name

Central Jersey Medical Center Inc.

Subdivision Name

Central Jersey Medical Center Inc.

Type

HRSA-Funded Health Center

340B ID

CH027000

Entity Address

275 Hobart St
Perth Amboy, NJ 08861-4310

Grant Number

H80CS00253

Participating Start Date

1/1/2005

Last Recertification Date

3/1/2025

Pharmacy Details

Pharmacy Name

WALGREEN EASTERN CO., INC

Pharmacy Address

RITE AID #10523
1199 AMBOY AVE
EDISON, NJ 08837

Pharmacy Comments

Contract Details

Approval Date

1/17/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2022
Agreement registered in error

Contacts

Covered Entity Signing Official

Thomas Boggiano, Chief Financial Officer
(732) 376-6659

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/17/2022

340B Drug Pricing Program Database