340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
866 EAST TREMONT PHARMACY LLC
RWI06610 Greater Bridgeport Area Prevention Programs, Inc,
Print
Covered Entity Details
Entity Name
Greater Bridgeport Area Prevention Programs, Inc,
Subdivision Name
Type
Ryan White Part A
340B ID
RWI06610
Entity Address
1470 Barnum Avenue
Suite 301
Bridgeport, CT 06610
Grant Number
H89HA00029
Participating Start Date
1/1/2017
Last Recertification Date
2/18/2025
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
7/12/2021
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session