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PHARMACEUTICAL PRESCRIPTION SERVICE, LLC
CHC29015-00 SAINT JAMES HEALTH INC
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Covered Entity Details
Entity Name
SAINT JAMES HEALTH INC
Subdivision Name
Saint James Health, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC29015-00
Entity Address
228 Lafayette Street, 2nd Floor
Newark, NJ 07105-1815
Grant Number
H80CS29015
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMACEUTICAL PRESCRIPTION SERVICE, LLC
Pharmacy Address
155 JEFFERSON ST
NEWARK, NJ 07105-1706
Pharmacy Comments
Contract Details
Approval Date
4/11/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/7/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nicole Marie Fields, President and CEO
(908) 578-7273
Contract Pharmacy Representative
Lucinda Fernandes, Coordinator
(973) 344-9000
Signed By Date
4/11/2016
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