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GREEN LINE SUPPLY
CH01182J THUNDERMIST HEALTH CENTER
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Covered Entity Details
Entity Name
THUNDERMIST HEALTH CENTER
Subdivision Name
THUNDERMIST SOUTH COUNTY
Type
HRSA-Funded Health Center
340B ID
CH01182J
Entity Address
1 River St
Wakefield, RI 02879-3214
Grant Number
H80CS00454
Participating Start Date
7/1/2007
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
GREEN LINE SUPPLY
Pharmacy Address
10 TRIPPS LN
RIVERSIDE, RI 02915
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/26/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeanne LaChance, President/CEO
(401) 767-4100 Ext: 3015
Contract Pharmacy Representative
Green Line Apothecary LLC
Christina Procaccianti, Owner
(401) 932-9626
Signed By Date
7/13/2018
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