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NEW JERSEY CVS PHARMACY, L.L.C.
STD073051 Healthcare Unity Group Inc
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Covered Entity Details
Entity Name
Healthcare Unity Group Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD073051
Entity Address
405 Kearny Ave
Kearny, NJ 07032
Grant Number
NU62PS924524-05-05
Participating Start Date
6/1/2023
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
NEW JERSEY CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17006
100 14TH ST
JERSEY CITY, NJ 07310
Pharmacy Comments
Contract Details
Approval Date
5/25/2023
Contract Begin Date
6/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony John Walko III, Chief Executive Officer
(201) 783-3126
Contract Pharmacy Representative
CVS
Alex Hazard, Account Manager
(315) 886-5406
Signed By Date
5/11/2023
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