PROVINCETOWN — Outer Cape Health Services CEO Pat Nadle, who warned last summer that the opening of a CVS pharmacy in town would put OCHS’s clinic here at risk, took a more cautious approach this week in her reaction to the news that the giant chain had won approval for its new store.

“While we are disappointed, we respect the town’s position and time put into making this difficult decision,” Nadle said by email on Tuesday. “We already operate in a competitive environment. Healthcare is changing rapidly for everyone. … Our Provincetown pharmacy is only one aspect of our commitment to serve our patients and other members of the community with personalized year-round care.”

In July, Nadle told the Banner that competition from CVS “is the biggest issue for the Provincetown health center from a risk basis,” and that revenue from its pharmacy was essential to support other services that operate at a loss.

This week she confirmed that OCHS depends on pharmacy revenues to support less profitable services such as radiology and the dental clinic.

“We will carefully watch the impact that CVS pharmacy may have on Provincetown health center revenues and, if necessary, respond accordingly with appropriate modifications to our service delivery lines,” Nadle wrote. “Nothing is set in stone at this point. We are planning for all scenarios.”

“We remain optimistic,” OCHS board Treasurer Nancy Howard said by email on Tuesday. “Outer Cape Health Services has been the community health center for the entire Outer Cape community for more than 50 years. As one of the region’s largest nonprofit employers, we feel a deep commitment and responsibility to provide the best possible services to our friends and neighbors now into the future.”

As a federally qualified health center, OCHS is required to provide care for everyone who needs it, whether they are insured or not. Its pharmacies are also the only ones on the Outer Cape able to offer prescription drugs through the 340B Drug Pricing Program. This enables OCHS to purchase drugs at 30 to 70 percent discounts, which are passed along to patients in full.

To qualify for the discount program, patients must not have prescription insurance and must meet income eligibility requirements: no more than $27,720 for a single person, $37,340 for a two-person household, $56,580 for a four-person household.

Earlier this month town officials announced they had reached an agreement with CVS that exempts the proposed store from the town’s Formula Business Bylaw. The company agreed to modify its standard signs and interior design. The timing of the opening of the store at the current Riley Brothers’ T-shirt outlet at 132 Bradford St. remains uncertain.

“The only thing [CVS] has to do is extend their historic district commission (HDC) approval because it will expire soon,” Assistant Town Manager David Gardner said last Thursday. “It’s just a renewal — it’s not being re-debated or anything. They can’t really deny it because nothing has changed.”

CVS will have to apply for a building permit for improvements to the property.

“They also need to fix up the building and the road improvements as agreed upon by the HDC and the planning board,” Gardner said. “I’m expecting that to happen soon.”

Meanwhile, the former 7-Eleven store across the street remains vacant. John Ciluzzi of Premier Commercial Real Estate would not comment on potential new owners but said a deal is in the works.

“What’s going to end up happening, which is unfortunate, is we are going to have three corners of the intersection done and the most critical corner is not going to be done,” Gardner said. “There is someone who is considering that property, but it sounds like dealing with corporate 7-Eleven is not an easy thing. I don’t see them moving forward anytime soon. Some of the hardest negotiations I’ve done are always chain retail.”

But Gardner said he thinks CVS has come a long way.

“I’ve dealt with Rite Aids and CVSs in the past and those pharmacy drugstores have a formula and they don’t want to vary from that at all,” Gardner said. “They are cookie cutter, but CVS was actually pretty accommodating. … We will see what happens. We have inflatables, sunscreen and flip-flops [there already]. I imagine it’s going to be very similar. They are still going to have the same clientele and day tourists. Selling Cokes and sunglasses, sunblock and aloe and boogie boards and stuff like that. All the same stuff that is already there right now.”

Reactions to the news about CVS exploded on social media, with some comments crossing the line into what some considered cyber-bullying. One posting about the story generated more than 800 comments. It and two other threads on the subject were eventually taken down by site administrators.

One woman, who did not wish to be named, told the Banner she was attacked online after commenting that she was excited to have another pharmacy option in town, not only for her prescriptions but also for supplies like shampoo and conditioner.

“People were swearing at me, calling me a drug addict and a washashore,” she said. “I moved here 20 years ago and I have been involved in town politics, supporting local businesses the entire time. I love this town more than anything. Just because I like CVS shouldn’t allow people to be verbally abusive.”

She said one man connected with her privately via messenger.

“He did it just so he could call me names,” she said. “I’ve never felt so violated and harassed in my life. He asked for my address at one point and I had to block him. I later deleted my account and I’m steering clear of community threads.”