340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RHODE ISLAND CVS PHARMACY, L.L.C.
CH010480 NORTHWEST COMMUNITY HEALTH CARE
Print
Covered Entity Details
Entity Name
NORTHWEST COMMUNITY HEALTH CARE
Subdivision Name
DBA WellOne Primary Medical and Dental Care
Type
HRSA-Funded Health Center
340B ID
CH010480
Entity Address
36 BRIDGE WAY
PASCOAG, RI 02859
Grant Number
H80CS00308
Participating Start Date
10/1/2003
Last Recertification Date
2/10/2025
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
2/7/2012
Contract Begin Date
2/7/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter Bancroft, President & CEO
(401) 285-5119
Contract Pharmacy Representative
CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762
Signed By Date
1/18/2012
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