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1101A NORTH JEFFERSON PHARMACY LLC
RWII63108 DOORWAYS
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Covered Entity Details
Entity Name
DOORWAYS
Subdivision Name
Type
Ryan White Part B
340B ID
RWII63108
Entity Address
4385 Maryland Ave
Saint Louis, MO 63108
Grant Number
X07HA00030
Participating Start Date
10/1/2019
Last Recertification Date
2/12/2025
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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