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CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CH057030 CENTER FOR FAMILY HEALTH
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Covered Entity Details
Entity Name
CENTER FOR FAMILY HEALTH
Subdivision Name
CFH - Downtown
Type
HRSA-Funded Health Center
340B ID
CH057030
Entity Address
505 N.Jackson St.
Jackson, MI 49201
Grant Number
H80CS00772
Participating Start Date
7/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Wypyski, CEO
(571) 748-5500
Contract Pharmacy Representative
Center for Family Health
Gary Darmofal, Pharmacy manager
(517) 748-5400
Signed By Date
4/11/2024
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