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PARKWAY PHARMACY
CH02093E SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
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Covered Entity Details
Entity Name
SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.
Subdivision Name
ATLANTIC CITY
Type
HRSA-Funded Health Center
340B ID
CH02093E
Entity Address
1301 ATLANTIC AVE
ATLANTIC CITY, NJ 08401-7247
Grant Number
H80CS00380
Participating Start Date
1/1/2007
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PARKWAY PHARMACY
Pharmacy Address
2838 ATLANTIC AVE
ATLANTIC CITY, NJ 08401
Pharmacy Comments
Contract Details
Approval Date
5/19/2008
Contract Begin Date
5/19/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/6/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
5/19/2008
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