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RHODE ISLAND CVS PHARMACY, L.L.C.
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
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
10/16/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph R. DeSantis, Chief Executive Officer
(401) 519-1967
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
10/16/2013
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