340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
866 EAST TREMONT PHARMACY LLC
CH02360T URBAN HEALTH PLAN, INC.
Print
Covered Entity Details
Entity Name
URBAN HEALTH PLAN, INC.
Subdivision Name
Urban Health Plan at Kips Bay Boys and Girls Club Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH02360T
Entity Address
1930 Randall Ave
Bronx, NY 10473-2608
Grant Number
H80CS00368
Participating Start Date
10/1/2015
Last Recertification Date
2/20/2023
Entity Termination Date
10/1/2023
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
10/28/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
10/28/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session