Contract Pharmacy Details

PHARMACEUTICAL PRESCRIPTION SERVICE, LLC
CH02348B HORIZON HEALTH CENTER INC

Covered Entity Details

Entity Name

HORIZON HEALTH CENTER INC

Subdivision Name

Bayonne Family Medicine by Horizon

Type

HRSA-Funded Health Center

340B ID

CH02348B

Entity Address

29 E 29th St
Bayonne, NJ 07002-4654

Grant Number

H80CS19534

Participating Start Date

7/1/2011

Last Recertification Date

2/24/2016

Entity Termination Date

4/1/2016

Pharmacy Details

Pharmacy Name

PHARMACEUTICAL PRESCRIPTION SERVICE, LLC

Pharmacy Address

155 JEFFERSON ST
NEWARK, NJ 07105-1706

Pharmacy Comments

Contract Details

Approval Date

11/23/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2016

Contacts

Covered Entity Signing Official

Marilyn Cintron, Chief Executive Officer
(201) 209-2301

Contract Pharmacy Representative

Pharmaceutical Prescription Service
RITA LEE FRIEDMAN, PRESIDENT
(973) 491-9000

Signed By Date

11/23/2015

340B Drug Pricing Program Database