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866 EAST TREMONT PHARMACY LLC
STD322024 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
STD322024
Entity Address
341 East Forsyth Street
Jacksonville, FL 32202
Grant Number
NH25PS005131
Participating Start Date
7/1/2023
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
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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