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866 EAST TREMONT PHARMACY LLC
STD066102 Greater Bridgeport Area Prevention Program, INC.
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Covered Entity Details
Entity Name
Greater Bridgeport Area Prevention Program, INC.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD066102
Entity Address
1470 Barnum Avenue
301
Bridgeport, CT 06610
Grant Number
6 NU62PS924521-04-02
Participating Start Date
10/1/2021
Last Recertification Date
5/20/2024
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
8/16/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nancy Kingwood-Small, Deputy Director of HIV Services
(203) 366-8255 Ext: 111
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
7/12/2021
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