Contract Pharmacy Details

NEWARK RX PHARMACY
STD071033 Rutgers, The State University of New Jersey

Covered Entity Details

Entity Name

Rutgers, The State University of New Jersey

Subdivision Name

RBHS - New Jersey Medical School

Type

Sexually Transmitted Diseases

340B ID

STD071033

Entity Address

140 Bergen Street
ACC, D-Level, Room D1725
NewarK, NJ 07103-0000

Grant Number

NH25PS005174-08

Participating Start Date

10/1/2019

Last Recertification Date

5/5/2025

Pharmacy Details

Pharmacy Name

NEWARK RX PHARMACY

Pharmacy Address

PHARMACY DEPARTMENT
13 WILLIAM ST
NEWARK, NJ 07102

Pharmacy Comments

Contract Details

Approval Date

4/14/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283

Contract Pharmacy Representative

Newark New Pharmacy LLC dba Newark Rx Pharmacy
Metry Habashy, Owner
(973) 500-3660

Signed By Date

4/14/2022

340B Drug Pricing Program Database