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WALGREEN EASTERN CO., INC.
CHC12855-00 MONMOUTH FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
MONMOUTH FAMILY HEALTH CENTER
Subdivision Name
Monmouth Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12855-00
Entity Address
270 Broadway
Long Branch, NJ 07740-0727
Grant Number
H80CS12855
Participating Start Date
10/14/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS #13754
1513 RICHMOND AVE.
POINT PLEASANT BORO, NJ 08742
Pharmacy Comments
Contract Details
Approval Date
4/10/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/17/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marta Silverberg, CEO
(732) 923-7100 Ext: 7145
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/10/2014
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