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FREEDOM PHARMACY
CHC29015-00 SAINT JAMES HEALTH INC
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Covered Entity Details
Entity Name
SAINT JAMES HEALTH INC
Subdivision Name
Saint James Health, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC29015-00
Entity Address
228 Lafayette Street, 2nd Floor
Newark, NJ 07105-1815
Grant Number
H80CS29015
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FREEDOM PHARMACY
Pharmacy Address
1248 SUSSEX TPKE # B9
RANDOLPH, NJ 07869
Pharmacy Comments
Contract Details
Approval Date
9/25/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nicole Marie Fields, President and CEO
(908) 578-7273
Contract Pharmacy Representative
Freedon
Linda Witzal, President
(862) 324-4807
Signed By Date
9/25/2022
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