340B Drug Pricing Program Database
904 PROSPECT PHARMACY INC
RWI10920 TOUCH- Together Our unity Can Heal, Inc. - information as of 5/7/2025 11:42:15 PM
Covered Entity Details
Entity Name
TOUCH- Together Our unity Can Heal, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI10920
Entity Address
209 Route 9W
Congers, NY 10920
Grant Number
H89HA00015
Participating Start Date
1/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
904 PROSPECT PHARMACY INC
Pharmacy Address
D/B/A BOCA PHARMACY
904 PROSPECT AVE
BRONX, NY 10459-3929
Pharmacy Comments
Contract Details
Approval Date
10/20/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Maher, Executive Director
(845) 268-8023
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
10/10/2017
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