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KEANSBURG DRUGS
CH02767AD VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT
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Covered Entity Details
Entity Name
VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT
Subdivision Name
VNACJ Community Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH02767AD
Entity Address
100 Main St
Keansburg, NJ 07734-1725
Grant Number
H80CS00874
Participating Start Date
7/1/2008
Last Recertification Date
2/22/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
KEANSBURG DRUGS
Pharmacy Address
199 MAIN STREET
KEANSBURG, NJ 07734
Pharmacy Comments
Contract Details
Approval Date
4/5/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
GARY LININGTON, CEO
(732) 224-6992
Contract Pharmacy Representative
Howard Shulman, president
(732) 787-1414 Ext: 100
Signed By Date
4/5/2013
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