340B Drug Pricing Program Database

Pharmacy Name

MONMOUTH MEDICAL CENTER LTC RETAIL PHARM

Pharmacy Address

300 2ND AVENUE
LONG BRANCH, NJ 07740

Pharmacy Comments

Approval Date

4/1/2009

Contract Begin Date

4/1/2009

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2019
Agreement registered in error

Covered Entity Signing Official


Contract Pharmacy Representative

Signed By Date

3/25/2009