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ULTRACARE PHARMACY
CHC49339-02 RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
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Covered Entity Details
Entity Name
RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
Subdivision Name
Rutgers RWJ Eric B. Chandler Health Center
Type
HRSA-Funded Health Center
340B ID
CHC49339-02
Entity Address
277 George St
New Brunswick, NJ 08901-1476
Grant Number
H80CS49339
Participating Start Date
7/1/2024
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
ULTRACARE PHARMACY
Pharmacy Address
ULTRACARE PHARMACY
272 GEORGE ST
NEW BRUNSWICK, NJ 08901-1314
Pharmacy Comments
Contract Details
Approval Date
10/5/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandra Hill, Executive Director
(732) 235-9099
Contract Pharmacy Representative
Ultracare Pharmacy
Ahmed Ahmed, owner
(551) 358-1745
Signed By Date
10/5/2024
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