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WALGREEN EASTERN CO., INC.
CHC11351-00 Tri-County Community Action Agency
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Covered Entity Details
Entity Name
Tri-County Community Action Agency
Subdivision Name
Tri-County Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11351-00
Entity Address
1126 Hartford Avenue
Johnston, RI 02919-7130
Grant Number
H80CS12879
Participating Start Date
10/1/2009
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS # 03204
295 ACADEMY AVENUE
PROVIDENCE, RI 02908
Pharmacy Comments
Contract Details
Approval Date
10/1/2010
Contract Begin Date
10/1/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
9/10/2010
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