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866 EAST TREMONT PHARMACY LLC
RWI98118 People of Color Against AIDS Network
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Covered Entity Details
Entity Name
People of Color Against AIDS Network
Subdivision Name
POCAAN
Type
Ryan White Part A
340B ID
RWI98118
Entity Address
4437 Rainier Ave South
Seattle, WA 98118
Grant Number
H89HA00022
Participating Start Date
4/20/2022
Last Recertification Date
2/10/2025
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
7/14/2022
Contract Begin Date
7/25/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Sawyer, Director
(206) 322-7061 Ext: 24
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
7/14/2022
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