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RHODE ISLAND CVS PHARMACY, L.L.C.
DSH410010A WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
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Covered Entity Details
Entity Name
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Subdivision Name
Center for Women's Surgery
Type
Disproportionate Share Hospital
340B ID
DSH410010A
Entity Address
101 Plain Street
Providence, RI 02905
Medicare Provider Number
410010
Outpatient Facility Provider Number
Participating Start Date
4/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00311
507 MAIN STREET
EAST GREENWICH, RI 02818
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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