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MEDILINK RXCARE HAMMONTON, LLC
STD071023 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
Sexually Transmitted Diseases
340B ID
STD071023
Entity Address
111 Central Avenue
Newark, NJ 07102-1909
Grant Number
NH25PS240047
Participating Start Date
1/1/2024
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
MEDILINK RXCARE HAMMONTON, LLC
Pharmacy Address
44 S. WHITE HORSE PIKE
HAMMONTON, NJ 08037
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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