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RHODE ISLAND CVS PHARMACY, L.L.C.
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
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02065
11 MAIN ST.
WAKEFIELD, RI 02879
Pharmacy Comments
Contract Details
Approval Date
7/3/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alison Croke, President and CEO
(401) 539-2461 Ext: 148
Contract Pharmacy Representative
CVS
Justine Bach, Consultant, Senior Account Manager
(516) 243-2201
Signed By Date
7/3/2022
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