Contract Pharmacy Details

MOLNAR PHARMACY
RWI07960 EDGE New Jersey

Covered Entity Details

Entity Name

EDGE New Jersey

Subdivision Name

Type

Ryan White Part A

340B ID

RWI07960

Entity Address

35 WATERVIEW BLVD
Suite 201
Parsippany, NJ 07054

Grant Number

H89HA00003

Participating Start Date

7/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

MOLNAR PHARMACY

Pharmacy Address

MORRISTOWN PHARMACY LLC
76 MORRIS STREET
MORRISTOWN, NJ 07960

Pharmacy Comments

Contract Details

Approval Date

4/1/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Laurie Litt, Chief Executive Officer
(973) 285-0006 Ext: 15

Contract Pharmacy Representative

Pharmacy
Hyman Sharp, Pharmacy Manager
(973) 551-4895

Signed By Date

4/1/2018

340B Drug Pricing Program Database