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RHODE ISLAND CVS PHARMACY, L.L.C.
HV00018 The Miriam Hospital
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Covered Entity Details
Entity Name
The Miriam Hospital
Subdivision Name
Ryan White Care Program
Type
Ryan White Part C
340B ID
HV00018
Entity Address
180 Corliss St.
Suite E
Providence, RI 02904
Grant Number
H76HA00018
Participating Start Date
7/1/2014
Last Recertification Date
2/13/2025
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
1/9/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael D Dawson, VP Finance
(401) 444-2648
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/9/2025
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