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866 EAST TREMONT PHARMACY LLC
STD339162 A Voice In The Wilderness Empowerment Center
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Covered Entity Details
Entity Name
A Voice In The Wilderness Empowerment Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD339162
Entity Address
3903 Dr Martin Luther King Jr Blvd
#F
Fort Myers, FL 33916
Grant Number
NH25PS005131
Participating Start Date
4/7/2021
Last Recertification Date
5/12/2021
Entity Termination Date
7/1/2022
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
4/7/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ramona D Miller, Executive Director
(239) 810-6648
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
3/29/2021
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