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866 EAST TREMONT PHARMACY LLC
RWI10468 Tolentine Zeiser Community Life Center, Inc.
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Covered Entity Details
Entity Name
Tolentine Zeiser Community Life Center, Inc.
Subdivision Name
Paradise Transitional Housing
Type
Ryan White Part A
340B ID
RWI10468
Entity Address
2395 Grand Concourse
Bronx, NY 10468
Grant Number
H89HA00015
Participating Start Date
10/1/2014
Last Recertification Date
2/27/2025
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
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sebastian Douglas, Director
(718) 364-7650
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
7/14/2021
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