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MEDILINK RXCARE HAMMONTON, LLC
STD07103 North Jersey AIDS Alliance, Inc d.b.a. North Jersey Community Research Initiative (NJCRI)
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Covered Entity Details
Entity Name
North Jersey AIDS Alliance, Inc d.b.a. North Jersey Community Research Initiative (NJCRI)
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD07103
Entity Address
393 Central Ave
Newark, NJ 07103
Grant Number
NU62PS924524
Participating Start Date
10/1/2016
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
MEDILINK RXCARE HAMMONTON, LLC
Pharmacy Address
44 S. WHITE HORSE PIKE
HAMMONTON, NJ 08037
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian McGovern, CEO
(973) 849-0084
Contract Pharmacy Representative
Medilink RXCare
Sandy TZaferos, President
(609) 956-1900
Signed By Date
7/15/2024
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