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ULTRACARE PHARMACY
CH021490 RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
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Covered Entity Details
Entity Name
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Subdivision Name
Eric B. Chandler Health Center
Type
HRSA-Funded Health Center
340B ID
CH021490
Entity Address
277 George St
New Brunswick, NJ 08901-1311
Grant Number
H80CS26763
Participating Start Date
10/1/1995
Last Recertification Date
2/4/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
ULTRACARE PHARMACY
Pharmacy Address
ULTRACARE PHARMACY
272 GEORGE ST
NEW BRUNSWICK, NJ 08901-1314
Pharmacy Comments
Contract Details
Approval Date
1/23/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sandra Hill, Executive Director
(732) 235-9099
Contract Pharmacy Representative
Ultracare Pharmacy
Janak Patel, Owner
(732) 543-1568
Signed By Date
1/23/2023
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