340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RHODE ISLAND CVS PHARMACY, L.L.C.
CH01182J THUNDERMIST HEALTH CENTER
Print
Covered Entity Details
Entity Name
THUNDERMIST HEALTH CENTER
Subdivision Name
THUNDERMIST SOUTH COUNTY
Type
HRSA-Funded Health Center
340B ID
CH01182J
Entity Address
1 River St
Wakefield, RI 02879-3214
Grant Number
H80CS00454
Participating Start Date
7/1/2007
Last Recertification Date
2/21/2025
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
10/20/2011
Contract Begin Date
2/17/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ERNEST BALASCO, COO
(401) 767-4100
Contract Pharmacy Representative
VAUGHN KINOSIAN, REGIONAL MANAGER
(401) 952-8627
Signed By Date
8/21/2008
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session