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FLORIDA DRUG AND LIQUOR
CH021300 PATERSON COMMUNITY HEALTH CENTER INC.
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Covered Entity Details
Entity Name
PATERSON COMMUNITY HEALTH CENTER INC.
Subdivision Name
PATERSON COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH021300
Entity Address
32 Clinton St
Paterson, NJ 07522-1775
Grant Number
H80CS00163
Participating Start Date
4/1/2014
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
FLORIDA DRUG AND LIQUOR
Pharmacy Address
507 BROADWAY
PATERSON, NJ 07514
Pharmacy Comments
Contract Details
Approval Date
7/11/2022
Contract Begin Date
7/15/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARY E. GARNER, CEO
(973) 790-6594 Ext: 323
Contract Pharmacy Representative
Rushin Inc
Pradip Acharya, President
(973) 925-7200
Signed By Date
7/11/2022
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