Contract Pharmacy Details

866 EAST TREMONT PHARMACY LLC
RWI33030 New Hope C.O.R.P.S., Inc.

Covered Entity Details

Entity Name

New Hope C.O.R.P.S., Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI33030

Entity Address

1020 N KROME AVE
HOMESTEAD, FL 33030

Grant Number

H89HA00005

Participating Start Date

4/1/2022

Last Recertification Date

Entity Termination Date

4/1/2023

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

3/14/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

James Dougherty, COO
(786) 243-1003 Ext: 217

Contract Pharmacy Representative

Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700

Signed By Date

1/6/2022

340B Drug Pricing Program Database