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MEDILINK RXCARE HAMMONTON, LLC
HV08103 The Cooper Health System
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Covered Entity Details
Entity Name
The Cooper Health System
Subdivision Name
Early Intervention Program (EIP)
Type
Ryan White Part C
340B ID
HV08103
Entity Address
3 Cooper Plaza, Suite 513
Camden, NJ 08103
Grant Number
H76HA01727
Participating Start Date
2/4/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MEDILINK RXCARE HAMMONTON, LLC
Pharmacy Address
44 S. WHITE HORSE PIKE
HAMMONTON, NJ 08037
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pamela Gorman, Administrative Director, Early Intervention Program and Infectious Diseases
(856) 963-3833
Contract Pharmacy Representative
Medilink
Nikoleta Tzaferos, COO
(609) 956-1900
Signed By Date
4/15/2025
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