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866 EAST TREMONT PHARMACY LLC
RWI11779 Options for Community Living
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Covered Entity Details
Entity Name
Options for Community Living
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11779
Entity Address
25 Howard Place
Ronkonkoma, NY 11779
Grant Number
H89HA00020
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
866 EAST TREMONT PHARMACY LLC
Pharmacy Address
BOCA PHARMACY
864B E TREMONT AVE
BRONX, NY 10460
Pharmacy Comments
Contract Details
Approval Date
12/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Yolanda Lee Robano-Gross, Executive Director
(631) 361-9020 Ext: 1101
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
10/2/2019
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