340B Drug Pricing Program Database

Pharmacy Name

RHODE ISLAND CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00351
1919 MINERAL SPRING AVENUE
NORTH PROVIDENCE, RI 02904

Pharmacy Comments

06/18/2012 city correction (was Providence); 04/06/2012 updated address (was 1919 Mineral Spring North)

Approval Date

4/8/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Andrew M Fuqua, Senior Vice President and General Counsel
(617) 665-1000

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/8/2019