Contract Pharmacy Details

RMC RX LLC
RWI07101 Rutgers, The State University of New Jersey

Covered Entity Details

Entity Name

Rutgers, The State University of New Jersey

Subdivision Name

RBHS-New Jersey Medical School

Type

Ryan White Part A

340B ID

RWI07101

Entity Address

140 Bergen Street
ACC, D- Level, Room D1725
Newark, NJ 07103-0000

Grant Number

H89HA00003

Participating Start Date

1/1/2015

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RMC RX LLC

Pharmacy Address

RMC PHARMACY
236 S ORANGE AVE
NEWARK, NJ 07103

Pharmacy Comments

Contract Details

Approval Date

10/20/2023

Contract Begin Date

10/23/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/30/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283

Contract Pharmacy Representative

RMC RX LLC
Ashraf Latif, Owner
(973) 732-9762

Signed By Date

10/20/2023

340B Drug Pricing Program Database