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31ST & 3RD PHARMACY INC
RWI071020 St James Social Service Corp.
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Covered Entity Details
Entity Name
St James Social Service Corp.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI071020
Entity Address
604 DR. MLK. Blvd
Newark, NJ 07102
Grant Number
H89HA00003
Participating Start Date
10/1/2018
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
6/13/2023
Contract Begin Date
6/13/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vesta Godwin Clark, Executive Director
(973) 624-4007 Ext: 110
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
6/13/2023
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