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CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CHC28344-01 BANYAN COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BANYAN COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Banyan Community Health Center 3850 Miami
Type
HRSA-Funded Health Center
340B ID
CHC28344-01
Entity Address
3850 W FLAGLER ST
MIAMI, FL 33134-1604
Grant Number
H80CS28344
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
Pharmacy Comments
Contract Details
Approval Date
4/6/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Aprigliano, Vice President of Administration
(305) 398-6100 Ext: 7408
Contract Pharmacy Representative
CVS
Meagan Stevens, Sales Executive
(407) 457-2409
Signed By Date
4/6/2023
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