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HOWELL SMITH DRUGGIST
CH011990 BLACKSTONE VALLEY COMMUNITY HEALTH CARE
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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
HOWELL SMITH DRUGGIST
Pharmacy Address
749 CENTRAL AVE
PAWTUCKET, RI 02861-0286
Pharmacy Comments
Contract Details
Approval Date
4/14/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/14/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Raymond Joseph Lavoie, EXECUTIVE DIRECTOR
(401) 729-5235
Contract Pharmacy Representative
Howell Smith, Pharmacist
(401) 725-7711
Signed By Date
4/14/2014
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