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GIANNOTTO'S PHARMACY
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
GIANNOTTO'S PHARMACY
Pharmacy Address
195 1ST AVE W
NEWARK, NJ 07107-2618
Pharmacy Comments
Contract Details
Approval Date
7/26/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
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
Giannotto's Pharmacy
Avani Sheth, Owner
(973) 482-8220
Signed By Date
7/26/2017
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