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NKI ENTERPRISES INC
FP028795 THUNDERMIST HEALTH CENTER
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Covered Entity Details
Entity Name
THUNDERMIST HEALTH CENTER
Subdivision Name
Thundermist Family Planning South County
Type
Family Planning (Title X only)
340B ID
FP028795
Entity Address
ONE RIVER ST
WAKEFIELD, RI 02879
Grant Number
FPHPA006535
Participating Start Date
1/1/1998
Last Recertification Date
5/8/2025
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
White Cross Pharmacy
Robert Iacobucci, Pharmacy Director
(401) 726-6200
Signed By Date
10/10/2018
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