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WALGREEN EASTERN CO., INC.
RWI07601 Buddies of New Jersey, Inc.
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Covered Entity Details
Entity Name
Buddies of New Jersey, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI07601
Entity Address
149 Hudson Street
Hackensack, NJ 07601
Grant Number
H89HA00026
Participating Start Date
10/1/2013
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 05332
101 PRESIDENT STREET
PASSAIC, NJ 07055
Pharmacy Comments
Contract Details
Approval Date
1/12/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/10/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark S Anderson, Executive Director
(201) 489-2900
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/12/2016
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