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RHODE ISLAND CVS PHARMACY, L.L.C.
CH015160 EAST BAY COMMUNITY ACTION PROGRAM
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Covered Entity Details
Entity Name
EAST BAY COMMUNITY ACTION PROGRAM
Subdivision Name
Newport Health Center
Type
HRSA-Funded Health Center
340B ID
CH015160
Entity Address
6 John H. Chafee Blvd.
Newport, RI 02840-1034
Grant Number
H80CS02329
Participating Start Date
4/1/2005
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
RHODE ISLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02347
640 WARREN AVENUE
EAST PROVIDENCE, RI 02914
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/3/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Dennis Roy, CEO
(401) 437-1000 Ext: 126
Contract Pharmacy Representative
Sentry
Lynn Brown, Rep
(512) 430-1967
Signed By Date
10/16/2017
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