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NEW JERSEY CVS PHARMACY, L.L.C.
CH020070 HENRY J. AUSTIN HEALTH CENTER INC
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Covered Entity Details
Entity Name
HENRY J. AUSTIN HEALTH CENTER INC
Subdivision Name
Henry J. Austin Health Center - Warren
Type
HRSA-Funded Health Center
340B ID
CH020070
Entity Address
321 N Warren St.
Trenton, NJ 08618-4741
Grant Number
H80CS00531
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
NEW JERSEY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02816
2147 HAMILTON AVE
HAMILTON, NJ 08619
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles L. Davis II, Chief Executive Officer
(609) 278-5933
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2025
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