Contract Pharmacy Details

PALISADE DRUG
CH024490 NORTH HUDSON COMMUNITY ACTION CORPORATION

Covered Entity Details

Entity Name

NORTH HUDSON COMMUNITY ACTION CORPORATION

Subdivision Name

North Hudson Community Action Corporation @ West New York

Type

HRSA-Funded Health Center

340B ID

CH024490

Entity Address

5301 BROADWAY
WEST NEW YORK, NJ 07093-2622

Grant Number

H80CS00521

Participating Start Date

1/1/2004

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

PALISADE DRUG

Pharmacy Address

338 PALISADE AVE
JERSEY CITY, NJ 07307

Pharmacy Comments

Contract Details

Approval Date

2/15/2023

Contract Begin Date

2/15/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rebecca Acosta, Executive Vice President
(201) 210-0100 Ext: 10102

Contract Pharmacy Representative

Palisade Drug
Vipul Patel, Pharmacist
(201) 222-9399

Signed By Date

2/15/2023

340B Drug Pricing Program Database