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866 EAST TREMONT PHARMACY LLC
STD326011 UNSPOKEN TREASURE SOCIETY Inc
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Covered Entity Details
Entity Name
UNSPOKEN TREASURE SOCIETY Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD326011
Entity Address
1001 NE 16TH AVENUE
Suite 8
GAINESVILLE, FL 32601
Grant Number
NH25PS005131
Participating Start Date
7/1/2023
Last Recertification Date
6/11/2024
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
5/18/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Regina Livingston, Founder/Executive Director
(904) 377-0384
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
4/14/2023
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