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WALGREEN EASTERN CO INC
CHC29013-00 JEWISH RENAISSANCE FOUNDATION INC., THE
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Covered Entity Details
Entity Name
JEWISH RENAISSANCE FOUNDATION INC., THE
Subdivision Name
The Jewish Renaissance Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29013-00
Entity Address
1931 Oak Tree Road
Edison, NJ 08820
Grant Number
H80CS29013
Participating Start Date
4/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO INC
Pharmacy Address
DBA: WALGREENS #15238
1620 OAK TREE RD
EDISON, NJ 08820
Pharmacy Comments
Contract Details
Approval Date
7/28/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/16/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Peter R. Velez, Chief Operating Officer
(732) 482-9600 Ext: 102
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/28/2017
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