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MEDLY PHARMACY
CH0217710 METROPOLITAN FAMILY HEALTH NETWORK INC.
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Covered Entity Details
Entity Name
METROPOLITAN FAMILY HEALTH NETWORK INC.
Subdivision Name
METROPOLITAN FAMILY HEALTH NETWORK
Type
HRSA-Funded Health Center
340B ID
CH0217710
Entity Address
935 Garfield Ave
Jersey City, NJ 07304-2731
Grant Number
H80CS07588
Participating Start Date
4/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MEDLY PHARMACY
Pharmacy Address
MEDLY JERSEY CITY INC
152 NEWARK AVE
JERSEY CITY, NJ 07302
Pharmacy Comments
Contract Details
Approval Date
4/28/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joan Dublin, CEO
(201) 478-5802
Contract Pharmacy Representative
Medley Pharmacy
Nate Coney, VP
(609) 992-9692
Signed By Date
4/28/2022
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