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WALGREEN EASTERN CO., INC.
CH01058N PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
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Covered Entity Details
Entity Name
PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
Subdivision Name
Crossroads RI
Type
HRSA-Funded Health Center
340B ID
CH01058N
Entity Address
160 Broad St
Providence, RI 02903-4028
Grant Number
H80CS00057
Participating Start Date
1/1/2007
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 04145
533 ELMWOOD AVE.
PROVIDENCE, RI 02907
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
4/2/2007
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/19/2007
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