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ST PETER PHARMACY LLC
RWI07101 Rutgers, The State University of New Jersey
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Covered Entity Details
Entity Name
Rutgers, The State University of New Jersey
Subdivision Name
RBHS-New Jersey Medical School
Type
Ryan White Part A
340B ID
RWI07101
Entity Address
140 Bergen Street
ACC, D- Level, Room D1725
Newark, NJ 07103-0000
Grant Number
H89HA00003
Participating Start Date
1/1/2015
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ST PETER PHARMACY LLC
Pharmacy Address
15-17 ROPES PL.
106
NEWARK, NJ 07107
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/10/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Charles Hathaway, Asst Director ORSP
(973) 972-0283
Contract Pharmacy Representative
St. Peters Pharmacy
Peter Massak, Director
(862) 240-9311
Signed By Date
4/13/2018
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