340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GIANNOTTO'S PHARMACY
CH020710 NEWARK DEPARTMENT OF HEALTH AND HUMAN SERVICES
Print
Covered Entity Details
Entity Name
NEWARK DEPARTMENT OF HEALTH AND HUMAN SERVICES
Subdivision Name
Mary Eliza Mahoney Health Center @110 William Street
Type
HRSA-Funded Health Center
340B ID
CH020710
Entity Address
110 WILLIAM STREET
ROOM 208
NEWARK, NJ 07102
Grant Number
H80CS00009
Participating Start Date
4/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GIANNOTTO'S PHARMACY
Pharmacy Address
195 1ST AVE W
NEWARK, NJ 07107-2618
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
Ketlen Alsbrook, Director & CEO
(973) 733-5310
Contract Pharmacy Representative
Giannotto's Pharmacy
Avani Sheth, Owner
(973) 482-8220
Signed By Date
4/15/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session