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RHODE ISLAND CVS PHARMACY, L.L.C.
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
FPHPA016066
Participating Start Date
1/1/1998
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00494
1400 HARTFORD AVENUE
JOHNSTON, RI 02919
Pharmacy Comments
Contract Details
Approval Date
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeanne LaChance, President/CEO
(401) 767-4100 Ext: 3015
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2020
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