Contract Pharmacy Details

RHODE ISLAND CVS PHARMACY, L.L.C.
CH011820 THUNDERMIST HEALTH CENTER

Covered Entity Details

Entity Name

THUNDERMIST HEALTH CENTER

Subdivision Name

THUNDERMIST DENTAL ADMIN WOONSOCKET

Type

HRSA-Funded Health Center

340B ID

CH011820

Entity Address

25 John A. Cummings Way
Woonsocket, RI 02895-3240

Grant Number

H80CS00454

Participating Start Date

10/1/2002

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

RHODE ISLAND CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY AT THUNDERMIST # 2474
450 CLINTON ST.
WOONSOCKET, RI 02895

Pharmacy Comments

Contract Details

Approval Date

10/20/2011

Contract Begin Date

5/1/2007

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

5/1/2007

340B Drug Pricing Program Database