Contract Pharmacy Details

NEW JERSEY CVS PHARMACY, L.L.C.
CH02007J HENRY J. AUSTIN HEALTH CENTER, INC.

Covered Entity Details

Entity Name

HENRY J. AUSTIN HEALTH CENTER, INC.

Subdivision Name

Henry J. Austin Health Center at The Rescue Mission of Trenton

Type

HRSA-Funded Health Center

340B ID

CH02007J

Entity Address

98 Carroll St
Trenton, NJ 08609-1008

Grant Number

H80CS00531

Participating Start Date

10/1/2016

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

NEW JERSEY CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00824
2721 BRUNSWICK PIKE
LAWRENCEVILLE, NJ 08648

Pharmacy Comments

Contract Details

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kemi Alli, Chief Executive Officer
(609) 278-5909

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/17/2023

340B Drug Pricing Program Database