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NKI ENTERPRISES INC
HV02895 THUNDERMIST HEALTH CENTER
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Covered Entity Details
Entity Name
THUNDERMIST HEALTH CENTER
Subdivision Name
Thundermist Ryan White Part C Woonsocket
Type
Ryan White Part C
340B ID
HV02895
Entity Address
450 CLINTON STREET
WOONSOCKET, RI 02895
Grant Number
H76HA00704
Participating Start Date
10/1/2002
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
NKI ENTERPRISES INC
Pharmacy Address
WHITE CROSS PHARMACY
11 BLACKSTONE VALLEY PLACE
LINCOLN, RI 02865
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeanne LaChance, President/CEO
(401) 767-4100 Ext: 3015
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/10/2018
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