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PARSIPPANY PHARMACY
RWI07960 EDGE New Jersey
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Covered Entity Details
Entity Name
EDGE New Jersey
Subdivision Name
Type
Ryan White Part A
340B ID
RWI07960
Entity Address
35 WATERVIEW BLVD
Suite 201
Parsippany, NJ 07054
Grant Number
H89HA00003
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PARSIPPANY PHARMACY
Pharmacy Address
1236 US HIGHWAY 46
PARSIPPANY, NJ 07054
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
Laurie Litt, Chief Executive Officer
(973) 285-0006 Ext: 15
Contract Pharmacy Representative
Morris Plains Pharmacy
Raymond Rapkin, Pharmist in Charge
(973) 539-3635
Signed By Date
7/13/2023
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