Contract Pharmacy Details

RITE AID OF NEW JERSEY, INC.
RWI07101 Rutgers, The State University of New Jersey

Covered Entity Details

Entity Name

Rutgers, The State University of New Jersey

Subdivision Name

RBHS-New Jersey Medical School

Type

Ryan White Part A

340B ID

RWI07101

Entity Address

140 Bergen Street
ACC, D- Level, Room D1725
Newark, NJ 07103-0000

Grant Number

H89HA00003

Participating Start Date

1/1/2015

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RITE AID OF NEW JERSEY, INC.

Pharmacy Address

RITE AID #2561
332 RARITAN AVENUE
HIGHLAND PARK, NJ 08904

Pharmacy Comments

Contract Details

Approval Date

7/11/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283

Contract Pharmacy Representative

Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505

Signed By Date

7/11/2024

340B Drug Pricing Program Database