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866 EAST TREMONT PHARMACY LLC
STD06850 Mid Fairfield AIDS Project
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Covered Entity Details
Entity Name
Mid Fairfield AIDS Project
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD06850
Entity Address
618 West Avenue
2nd fl
Norwalk, CT 06850
Grant Number
6NU62PS924812
Participating Start Date
1/1/2025
Last Recertification Date
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
1/7/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stuart Lane, Executive Director
(203) 855-9535
Contract Pharmacy Representative
866 EAST TREMONT PHARMACY LLC
Jacob Jamron, CEO
(718) 344-7853
Signed By Date
1/7/2025
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