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RHODE ISLAND CVS PHARMACY, L.L.C.
CH01048A 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
CH01048A
Entity Address
308 Callahan Rd
North Kingstown, RI 02852-7739
Grant Number
H80CS00308
Participating Start Date
7/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00595
6495 POST ROAD
NORTH KINGSTOWN, RI 02852
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
11/1/2008
Carve-In Effective Date
Contract Comments
2/19/09 ADMIN CORRECTION 340B ID# CHANGED (WAS FQHCLA236)
Contract Termination Date
Termination Reason
7/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/17/2008
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