340B Drug Pricing Program Database

Pharmacy Name

SKYLANDS COMMUNITY PHARMACY

Pharmacy Address

78-30 MAIN ST
HACKETTSTOWN, NJ 07840

Pharmacy Comments

Approval Date

3/11/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/31/2017
Pharmacy closed

Covered Entity Signing Official

Rina Ramirez, Chief Medical Officer
(973) 328-9100 Ext: 311

Contract Pharmacy Representative

William Leman, Pharmacy Manager
(908) 852-3784

Signed By Date

1/25/2013