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866 EAST TREMONT PHARMACY LLC
RWI20011 TERRIFIC, Inc.
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Covered Entity Details
Entity Name
TERRIFIC, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI20011
Entity Address
1438 Kennedy Street, NW
Washington, DC 20011
Grant Number
H89HA00012
Participating Start Date
7/1/2018
Last Recertification Date
2/24/2025
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
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susan L. Shepard, Director Prevention and Education
(202) 882-1160
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
1/13/2020
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