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WALGREEN EASTERN CO., INC.
RWI075051 Coalition on AIDS in Passaic County, Inc.
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Covered Entity Details
Entity Name
Coalition on AIDS in Passaic County, Inc.
Subdivision Name
CAPCO/Paterson
Type
Ryan White Part A
340B ID
RWI075051
Entity Address
100 Hamilton Plaza, Suite 1406
Paterson, NJ 07505
Grant Number
H89HA00026
Participating Start Date
7/1/2024
Last Recertification Date
2/11/2025
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
1/13/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/4/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jerry C. Dillard, Executive Director/CEO
(973) 742-6742 Ext: 305
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2015
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