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866 EAST TREMONT PHARMACY LLC
STD159011 Johnstown Free Medical Cllinic DBA Highlands Health: Laurel Highlands Free & Charitable Medical Clinic
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Covered Entity Details
Entity Name
Johnstown Free Medical Cllinic DBA Highlands Health: Laurel Highlands Free & Charitable Medical Clinic
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD159011
Entity Address
315 Locust Street, 2nd Floor
Johnstown, PA 15901
Johnstown, PA 15901
Grant Number
NH25PS004354
Participating Start Date
10/1/2017
Last Recertification Date
5/8/2024
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
4/8/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rosalie Danchanko, Executive Director
(814) 534-6242
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
4/8/2020
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