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1101A NORTH JEFFERSON PHARMACY LLC
STD63115 Williams & Associates INC
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Covered Entity Details
Entity Name
Williams & Associates INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD63115
Entity Address
3737 N. Kingshighway Blvd
Suite 204-206
St. Louis, MO 63115
Grant Number
NH25PS005142-03-01
Participating Start Date
1/1/2020
Last Recertification Date
5/15/2024
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
7/17/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erise Williams, President/CEO
(314) 385-1935 Ext: 3143851935
Contract Pharmacy Representative
866 EAST TREMONT PHARMACY LLC
Jacob Jamron, CEO
(718) 344-7853
Signed By Date
7/17/2024
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