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.
CHC11351-00 Tri-County Community Action Agency
Print
Covered Entity Details
Entity Name
Tri-County Community Action Agency
Subdivision Name
Tri-County Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11351-00
Entity Address
1126 Hartford Avenue
Johnston, RI 02919-7130
Grant Number
H80CS12879
Participating Start Date
10/1/2009
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04796
960 BROAD STREET
PROVIDENCE, RI 02905
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph R. DeSantis, Chief Executive Officer
(401) 519-1967
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2021
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