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WALGREEN EASTERN CO., INC
CH021270 COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
CompleteCare Adult & Specialty Medical Professionals
Type
HRSA-Funded Health Center
340B ID
CH021270
Entity Address
30 N Pearl St
BRIDGETON, NJ 08302
Grant Number
H80CS00164
Participating Start Date
1/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC
Pharmacy Address
RITE AID #10483
4201 ATLANTIC AVE
WILDWOOD, NJ 08260
Pharmacy Comments
Contract Details
Approval Date
3/15/2018
Contract Begin Date
3/22/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/12/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
James C. Edwards, CEO
(856) 451-4700 Ext: 2070
Contract Pharmacy Representative
Walgreens
april Wafford, Analyst, 340B Client Relationship
(847) 964-4000
Signed By Date
3/15/2018
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