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FARMACIA SUNRAY
CH0219920 PROJECT HOPE
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Covered Entity Details
Entity Name
PROJECT HOPE
Subdivision Name
WEST STREET HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0219920
Entity Address
519-525 West Street
Camden, NJ 08103-3529
Grant Number
H80CS09032
Participating Start Date
9/12/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FARMACIA SUNRAY
Pharmacy Address
2500 FEDERAL ST
CAMDEN, NJ 08105
Pharmacy Comments
Contract Details
Approval Date
7/26/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PATRICIA DESHIELDS, CEO/DIRECTOR
(856) 541-6092 Ext: 1016
Contract Pharmacy Representative
Pharmacist
Robert Siegel, Owner
(856) 963-2900
Signed By Date
7/26/2017
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