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RHODE ISLAND CVS PHARMACY, L.L.C.
CH01048D NORTHWEST COMMUNITY HEALTH CARE
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Covered Entity Details
Entity Name
NORTHWEST COMMUNITY HEALTH CARE
Subdivision Name
Northwest Community Health Care d/b/a WellOne Primary Medical and Dental Care
Type
HRSA-Funded Health Center
340B ID
CH01048D
Entity Address
142A Danielson Pike
Foster, RI 02825-1475
Grant Number
H80CS00308
Participating Start Date
9/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02048
1068 PUTNAM PIKE, PO BOX H
GLOCESTER, RI 02814
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
11/1/2008
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/17/2008
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