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RHODE ISLAND CVS PHARMACY, L.L.C.
FP028795 THUNDERMIST HEALTH CENTER
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Covered Entity Details
Entity Name
THUNDERMIST HEALTH CENTER
Subdivision Name
Thundermist Family Planning South County
Type
Family Planning (Title X only)
340B ID
FP028795
Entity Address
ONE RIVER ST
WAKEFIELD, RI 02879
Grant Number
FPHPA006535
Participating Start Date
1/1/1998
Last Recertification Date
5/8/2025
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02065
11 MAIN ST.
WAKEFIELD, RI 02879
Pharmacy Comments
Contract Details
Approval Date
5/1/2007
Contract Begin Date
5/1/2007
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/20/2007
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