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866 EAST TREMONT PHARMACY LLC
RWI46208 Brothers United, Inc.
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Covered Entity Details
Entity Name
Brothers United, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI46208
Entity Address
1712 North Meridian St.
Suite 200
Indianapolis, IN 46202
Grant Number
H89HA11463
Participating Start Date
1/1/2017
Last Recertification Date
3/10/2025
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
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jasmine A Black, Executive Director
(317) 931-0292
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
7/8/2021
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