Contract Pharmacy Details

BRIAR HILL PHARMACY 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

BRIAR HILL PHARMACY INC

Pharmacy Address

RETAIL PHARMACY
50 UNION AVE
IRVINGTON, NJ 07111

Pharmacy Comments

Contract Details

Approval Date

10/15/2024

Contract Begin Date

1/1/2025

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

Briar Hill Pharmacy
Mohamed Mohamed, Pharmacist
(973) 374-2001

Signed By Date

10/15/2024

340B Drug Pricing Program Database