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866 EAST TREMONT PHARMACY LLC
STD55805 Harm Reduction Sisters
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Covered Entity Details
Entity Name
Harm Reduction Sisters
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD55805
Entity Address
1220 1/2 East 1st Street, Apt A
Apt A
Duluth, MN 55805
Grant Number
6NU62PS924573
Participating Start Date
7/1/2023
Last Recertification Date
6/5/2024
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
5/30/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susan Purchase, Executive Director
(720) 401-6569
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
4/3/2023
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