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TOWN TOTAL HEALTH LLC
STD07103 North Jersey AIDS Alliance, Inc d.b.a. North Jersey Community Research Initiative (NJCRI)
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Covered Entity Details
Entity Name
North Jersey AIDS Alliance, Inc d.b.a. North Jersey Community Research Initiative (NJCRI)
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD07103
Entity Address
393 Central Ave
Newark, NJ 07103
Grant Number
NU62PS924524
Participating Start Date
10/1/2016
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
TOWN TOTAL HEALTH LLC
Pharmacy Address
393 CENTRAL AVENUE
NEWARK, NJ 07103
Pharmacy Comments
Contract Details
Approval Date
7/29/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Paul A. Valenti, CFO
(973) 757-1200
Signed By Date
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