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ST PETER PHARMACY LLC
STD071033 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
RBHS - New Jersey Medical School
Type
Sexually Transmitted Diseases
340B ID
STD071033
Entity Address
140 Bergen Street
ACC, D-Level, Room D1725
NewarK, NJ 07103-0000
Grant Number
NH25PS005174-06
Participating Start Date
10/1/2019
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
ST PETER PHARMACY LLC
Pharmacy Address
15-17 ROPES PL.
106
NEWARK, NJ 07107
Pharmacy Comments
Contract Details
Approval Date
4/13/2025
Contract Begin Date
7/1/2025
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
St. Peters Pharmacy
Peter Massak, Director
(862) 240-9311
Signed By Date
4/13/2025
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