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RHODE ISLAND CVS PHARMACY, L.L.C.
CH010800 FAMILY HEALTH CENTER OF WORCESTER, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Subdivision Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH010800
Entity Address
26 Queen St
Worcester, MA 01610-2473
Grant Number
H80CS00452
Participating Start Date
10/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00590
1054 CASS AVENUE
WOONSOCKET, RI 02895
Pharmacy Comments
03/19/2012 changed address (was 166 CASS AVENUE)
Contract Details
Approval Date
4/14/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Louis Arthur Brady, CEO
(617) 519-3117
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2022
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