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WALGREEN EASTERN CO., INC.
CH01223A Wood River Health Services, Inc.
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Covered Entity Details
Entity Name
Wood River Health Services, Inc.
Subdivision Name
WRHS Westerly Site
Type
HRSA-Funded Health Center
340B ID
CH01223A
Entity Address
17 Wells Street
Westerly, RI 02891
Grant Number
H80CS00059
Participating Start Date
10/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
RITE AID #10219
719 TIOGUE AVE.
COVENTRY, RI 02816
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Alison Croke, President and CEO
(401) 539-2461 Ext: 148
Contract Pharmacy Representative
Wood River Health Servives
Edward Smith, CFO
(443) 801-4871
Signed By Date
4/15/2022
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