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OLSHINS PHARMACY
CH02348C Alliance Community Healthcare Inc.
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Covered Entity Details
Entity Name
Alliance Community Healthcare Inc.
Subdivision Name
Alliance Community Healthcare Inc.
Type
HRSA-Funded Health Center
340B ID
CH02348C
Entity Address
115 Christopher Columbus Dr
Jersey City, NJ 07302-5526
Grant Number
H80CS19534
Participating Start Date
7/1/2012
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
OLSHINS PHARMACY
Pharmacy Address
114 CONGRESS ST
NEWARK, NJ 07105
Pharmacy Comments
Contract Details
Approval Date
10/8/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marilyn Cintron, Chief Executive Officer
(201) 209-2301
Contract Pharmacy Representative
Alliance PA Pharmacy
Joel Grodman, Pharmacist
(973) 589-5000
Signed By Date
10/8/2013
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