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EAST ORANGE PHARMACY
CH020500 NEWARK COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
NEWARK COMMUNITY HEALTH CENTERS INC
Subdivision Name
NEWARK COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH020500
Entity Address
741 BROADWAY
NEWARK, NJ 07104-4309
Grant Number
H80CS00062
Participating Start Date
1/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
EAST ORANGE PHARMACY
Pharmacy Address
EVERGREEN LLC
60 EVERGREEN PL STE 104
EAST ORANGE, NJ 07018-2114
Pharmacy Comments
Contract Details
Approval Date
4/26/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAMELA CLARKE, PRESIDENT/CEO
(973) 483-1300 Ext: 1302
Contract Pharmacy Representative
East Orange Pharmacy
Rikki Desai, PoC
(862) 444-7188
Signed By Date
4/26/2023
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