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MEDILINK RX CARE, LLC
RWI07102 Saint Michael's Clinics, Inc.
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Covered Entity Details
Entity Name
Saint Michael's Clinics, Inc.
Subdivision Name
Peter Ho Memorial Clinic
Type
Ryan White Part A
340B ID
RWI07102
Entity Address
111 Central Ave
Newark, NJ 07102
Grant Number
H89HA00003
Participating Start Date
7/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MEDILINK RX CARE, LLC
Pharmacy Address
1120 WHITE HORSE RD
UNIT 112
VOORHEES, NJ 08043
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alan Sickles, CEO
(973) 877-5549
Contract Pharmacy Representative
Medilink RXCare
Sandy TZaferos, President
(609) 956-1900
Signed By Date
4/15/2024
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