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MEDICAL HOME PHARMACY
DSH310092 CAPITAL HEALTH SYSTEM - FULD
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Covered Entity Details
Entity Name
CAPITAL HEALTH SYSTEM - FULD
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310092
Entity Address
750 BRUNSWICK AVENUE
TRENTON, NJ 08638
Medicare Provider Number
310092
Participating Start Date
10/1/2012
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
MEDICAL HOME PHARMACY
Pharmacy Address
828 N. OLDEN AVE
TRENTON, NJ 08638
Pharmacy Comments
Contract Details
Approval Date
7/10/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/10/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stephen A. Miller, CCO
(609) 394-6783
Contract Pharmacy Representative
AHMET HALDUN UGUR, Owner
(609) 989-1400
Signed By Date
7/10/2015
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