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WALGREEN EASTERN CO., INC
CH027670 VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT
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Covered Entity Details
Entity Name
VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT
Subdivision Name
VNACJ Community Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH027670
Entity Address
1301 Main St
Asbury Park, NJ 07712-5359
Grant Number
H80CS00874
Participating Start Date
10/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC
Pharmacy Address
WALGREENS #19278
901 MAIN ST
ASBURY PARK, NJ 07712
Pharmacy Comments
Contract Details
Approval Date
4/3/2018
Contract Begin Date
4/12/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristine I McCoy, Executive Director
(732) 502-5151
Contract Pharmacy Representative
Walgreens
april Wafford, Analyst, 340B Client Relationship
(847) 964-4000
Signed By Date
4/3/2018
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