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866 EAST TREMONT PHARMACY LLC
STD10004 Exponents, Inc.
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Covered Entity Details
Entity Name
Exponents, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD10004
Entity Address
17 Battery Place
8th Floor
New York, NY 10004
Grant Number
6 NU65PS004913-05-01
Participating Start Date
1/1/2021
Last Recertification Date
5/25/2021
Entity Termination Date
10/1/2021
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
11/23/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Regina Edwards, Executive Vice President & CFO
(212) 243-3434 Ext: 304
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
10/12/2020
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