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DUANE READE PHCY. DEPT.
CH0217710 METROPOLITAN FAMILY HEALTH NETWORK INC.
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Covered Entity Details
Entity Name
METROPOLITAN FAMILY HEALTH NETWORK INC.
Subdivision Name
METROPOLITAN FAMILY HEALTH NETWORK
Type
HRSA-Funded Health Center
340B ID
CH0217710
Entity Address
935 Garfield Ave
Jersey City, NJ 07304-2731
Grant Number
H80CS07588
Participating Start Date
4/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
DUANE READE PHCY. DEPT.
Pharmacy Address
110 NEWARK AVENUE
JERSEY CITY, NJ 07302
Pharmacy Comments
11/02/2012 DEA check, name update (was Walgreens 14402)
Contract Details
Approval Date
1/18/2012
Contract Begin Date
1/18/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joan Dublin, CEO
(201) 478-5802
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/19/2012
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