340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
866 EAST TREMONT PHARMACY LLC
RWI63115 Williams and Associates, Inc.
Print
Covered Entity Details
Entity Name
Williams and Associates, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI63115
Entity Address
3737 North Kingshighway Blvd.
Suite 204-206
St. Louis, MO 63115
Grant Number
H89HA00033
Participating Start Date
7/1/2016
Last Recertification Date
3/1/2025
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
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erise Williams, President/CEO
(314) 385-1935 Ext: 3143851935
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
1/15/2020
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