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WALGREEN EASTERN CO., INC.
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
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #13725
101 WASHINGTON ST.
HOBOKEN, NJ 07030-4634
Pharmacy Comments
06/11/2012 changed address (was 101 Washington Street, #105)
Contract Details
Approval Date
1/18/2012
Contract Begin Date
1/18/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2023
Pharmacy closed
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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