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PROCARE PHARMACY, L.L.C.
DSH410010 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
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Covered Entity Details
Entity Name
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH410010
Entity Address
101 DUDLEY ST.
PROVIDENCE, RI 02905
Medicare Provider Number
410010
Participating Start Date
10/1/2004
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #2293
2 DUDLEY STREET SUITE 170
PROVIDENCE, RI 02905
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Colleen M Ramos, VP Finance
(401) 430-1003
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2020
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