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GIANNOTTO'S PHARMACY
RWI076010 Team Management 2000 Inc.
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Covered Entity Details
Entity Name
Team Management 2000 Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI076010
Entity Address
84 Main Street
Hackensack, NJ 07601
Grant Number
H89HA00026
Participating Start Date
1/1/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
GIANNOTTO'S PHARMACY
Pharmacy Address
195 1ST AVE W
NEWARK, NJ 07107-2618
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shirley Henderson, Deputy Director
(201) 487-4700
Contract Pharmacy Representative
Giannotto's Pharmacy
Avani Sheth, Owner
(973) 482-8220
Signed By Date
7/13/2023
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