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AHSSHC
CH015160 EAST BAY COMMUNITY ACTION PROGRAM
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Covered Entity Details
Entity Name
EAST BAY COMMUNITY ACTION PROGRAM
Subdivision Name
Newport Health Center
Type
HRSA-Funded Health Center
340B ID
CH015160
Entity Address
6 John H. Chafee Blvd.
Newport, RI 02840-1034
Grant Number
H80CS02329
Participating Start Date
4/1/2005
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
AHSSHC
Pharmacy Address
EXPEDIEN RX PHARMACY
5050 WESLEY RD STE 120
APOPKA, FL 32712
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis Roy, CEO
(401) 437-1000 Ext: 126
Contract Pharmacy Representative
Agape
Trenia Yielding, Executive Director
(407) 357-2601
Signed By Date
1/15/2019
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