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HMH PHARMACY AT OLD BRIDGE MEDICAL CENTE
DSH310039 RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION
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Covered Entity Details
Entity Name
RARITAN BAY MEDICAL CENTER/ HMH HOSPITALS CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310039
Entity Address
530 NEW BRUNSWICK AVENUE
PERTH AMBOY, NJ 08861
Medicare Provider Number
310039
Participating Start Date
4/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
HMH PHARMACY AT OLD BRIDGE MEDICAL CENTE
Pharmacy Address
HACKENSACK MERIDIAN AMBULATORY CARE INC.
3 HOSPITAL PLZ STE 101
OLD BRIDGE, NJ 08857
Pharmacy Comments
Contract Details
Approval Date
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Carroll, President
(732) 324-5000
Contract Pharmacy Representative
Hackensack Meridian Health
Donna Shiffman, Pharmacy Manager
(732) 360-3450
Signed By Date
4/2/2024
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