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COMMUNITY PRIDE PHARMACY
STD075052 Paterson Counseling Center, Inc.
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Covered Entity Details
Entity Name
Paterson Counseling Center, Inc.
Subdivision Name
Hepatitis Program
Type
Sexually Transmitted Diseases
340B ID
STD075052
Entity Address
319-321 Main Street
Paterson, NJ 07505
Grant Number
NU51PS005159
Participating Start Date
4/1/2019
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
COMMUNITY PRIDE PHARMACY
Pharmacy Address
393 CENTRAL AVE
NEWARK, NJ 07103
Pharmacy Comments
Contract Details
Approval Date
4/16/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Jean Walker, Dir. of HIV Services & Community Outreach
(973) 523-8316 Ext: 7227
Contract Pharmacy Representative
East Orange Pharmacy
Amit Datwani, Partner
(973) 674-5777
Signed By Date
4/16/2024
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