340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BLACKSTONE PHARMACY
CH011990 BLACKSTONE VALLEY COMMUNITY HEALTH CARE
Print
Covered Entity Details
Entity Name
BLACKSTONE VALLEY COMMUNITY HEALTH CARE
Subdivision Name
Blackstone Valley Community Health Care
Type
HRSA-Funded Health Center
340B ID
CH011990
Entity Address
39 EAST AVENUE
PAWTUCKET, RI 02860
Grant Number
H80CS00154
Participating Start Date
10/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BLACKSTONE PHARMACY
Pharmacy Address
38 EAST AVE
PAWTUCKET, RI 02860-4004
Pharmacy Comments
Contract Details
Approval Date
6/27/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/14/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Raymond Joseph Lavoie, EXECUTIVE DIRECTOR
(401) 729-5235
Contract Pharmacy Representative
Gary Kishfy, member
(401) 440-3936
Signed By Date
6/27/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session