Contract Pharmacy Details

HEALTHCARE PHARMACY
CH020070 HENRY J. AUSTIN HEALTH CENTER INC

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

HEALTHCARE PHARMACY

Pharmacy Address

225 EAST STATE STREET
TRENTON, NJ 08608-1800

Pharmacy Comments

Contract Details

Approval Date

10/17/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/30/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Kemi Alli, Chief Executive Officer
(609) 278-5909

Contract Pharmacy Representative

Florence Ndubizy, owner
(609) 695-3525

Signed By Date

10/17/2016