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1101A NORTH JEFFERSON PHARMACY LLC
STD63106 DOORWAYS
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Covered Entity Details
Entity Name
DOORWAYS
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD63106
Entity Address
1101 N. Jefferson Ave
St. Louis, MO 63106
Grant Number
NH25PS005142
Participating Start Date
4/1/2024
Last Recertification Date
5/10/2024
Pharmacy Details
Pharmacy Name
1101A NORTH JEFFERSON PHARMACY LLC
Pharmacy Address
DBA BOCA PHARMACY
1101A N JEFFERSON AVE
SAINT LOUIS, MO 63106
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Opal Michelle Jones, President & CEO
(314) 328-2701
Contract Pharmacy Representative
Boca
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
7/15/2024
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