340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COORDINATED CARE NETWORK PHARMACY
RWI07102 Saint Michael's Clinics, Inc.
Print
Covered Entity Details
Entity Name
Saint Michael's Clinics, Inc.
Subdivision Name
Peter Ho Memorial Clinic
Type
Ryan White Part A
340B ID
RWI07102
Entity Address
111 Central Ave
Newark, NJ 07102
Grant Number
H89HA00003
Participating Start Date
7/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
268 MARTIN LUTHER KING JR. BLVD.
NEWARK, NJ 07102
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis Pettigrew, CFO/COO
(973) 854-3523
Contract Pharmacy Representative
Coordinated Care Network
Daveid Giannangeli, VP, Business Development and Corporate Relations
(412) 349-6335
Signed By Date
4/15/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session