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VALLEY PHARMACY
RWI07960 EDGE New Jersey
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Covered Entity Details
Entity Name
EDGE New Jersey
Subdivision Name
Type
Ryan White Part A
340B ID
RWI07960
Entity Address
35 WATERVIEW BLVD
Suite 201
Parsippany, NJ 07054
Grant Number
H89HA00003
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
VALLEY PHARMACY
Pharmacy Address
107 STATE ROUTE 10 E
SUCCASUNNA, NJ 07876
Pharmacy Comments
Contract Details
Approval Date
4/4/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laurie Litt, Chief Executive Officer
(973) 285-0006 Ext: 15
Contract Pharmacy Representative
United Pharmacy Network
Michele DiPaolo, Senior Solutions Director
(973) 302-8568 Ext: 102
Signed By Date
4/4/2024
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