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866 EAST TREMONT PHARMACY LLC
STD11710 Long Island Crisis Center Inc
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Covered Entity Details
Entity Name
Long Island Crisis Center Inc
Subdivision Name
PFY
Type
Sexually Transmitted Diseases
340B ID
STD11710
Entity Address
2050 Bellmore Avenue
Bellmore, NY 11710
Grant Number
NU65PS923744
Participating Start Date
1/1/2023
Last Recertification Date
5/29/2024
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
3/10/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Theresa Buhse, Executive Director
(516) 826-0244
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
3/10/2023
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