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VARIETY DRUG
CH02449E NORTH HUDSON COMMUNITY ACTION CORPORATION
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Covered Entity Details
Entity Name
NORTH HUDSON COMMUNITY ACTION CORPORATION
Subdivision Name
NHCAC Health Center @ Passaic 110
Type
HRSA-Funded Health Center
340B ID
CH02449E
Entity Address
110 MAIN AVE
PASSAIC, NJ 07055-4427
Grant Number
H80CS00521
Participating Start Date
1/1/2008
Last Recertification Date
1/25/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
VARIETY DRUG
Pharmacy Address
50 PASSAIC STREET
GARFIELD, NJ 07026-3159
Pharmacy Comments
Contract Details
Approval Date
1/28/2008
Contract Begin Date
1/28/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/24/2008
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