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866 EAST TREMONT PHARMACY LLC
RWI89104 Community Counseling Center
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Covered Entity Details
Entity Name
Community Counseling Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI89104
Entity Address
714 East Sahara Ave
Las Vegas, NV 89104
Grant Number
H89HA06900
Participating Start Date
7/1/2018
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
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kay Velardo, Director of Administration
(702) 369-8700 Ext: 287
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
1/10/2020
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