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HACKENSACK MERIDIAN HEALTH PHARMACY
DSH310001 HACKENSACK UNIVERSITY MEDICAL CENTER
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Covered Entity Details
Entity Name
HACKENSACK UNIVERSITY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310001
Entity Address
30 PROSPECT AVENUE
HACKENSACK, NJ 07601
Medicare Provider Number
310001
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
HACKENSACK MERIDIAN HEALTH PHARMACY
Pharmacy Address
34 INDUSTRIAL WAY E STE 4
EATONTOWN, NJ 07724-3319
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William James Carroll, VP, Chief Pharmacy Officer
(562) 233-6360
Contract Pharmacy Representative
Hackensack Meridian Health
Audra Manekas, Director of Specialty Pharmacy
(732) 836-4401
Signed By Date
4/1/2025
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