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RHODE ISLAND CVS PHARMACY, L.L.C.
CHC04215-01 Stanley St Treatment & Resources
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Covered Entity Details
Entity Name
Stanley St Treatment & Resources
Subdivision Name
Stanley Street Treatment Center
Type
HRSA-Funded Health Center
340B ID
CHC04215-01
Entity Address
400 Stanley Street
Suite 100
FALL RIVER, MA 02720-6009
Grant Number
H80CS04215
Participating Start Date
10/1/2011
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00351
1919 MINERAL SPRING AVENUE
NORTH PROVIDENCE, RI 02904
Pharmacy Comments
06/18/2012 city correction (was Providence); 04/06/2012 updated address (was 1919 Mineral Spring North)
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JULIE Mary ALMOND, CEO
(508) 679-8111 Ext: 205
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2022
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