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CYSTIC FIBROSIS SERVICES, LLC
DSH280060 Alegent Health Bergan Mercy Health System d/b/a CHI Health Creighton University Med Center-Bergan Mercy
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Covered Entity Details
Entity Name
Alegent Health Bergan Mercy Health System d/b/a CHI Health Creighton University Med Center-Bergan Mercy
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH280060
Entity Address
7500 Mercy Road
Omaha, NE 68124
Medicare Provider Number
280060
Participating Start Date
1/1/2018
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CYSTIC FIBROSIS SERVICES, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16280
10530 JOHN W ELLIOTT DR STE 200
FRISCO, TX 75033
Pharmacy Comments
Contract Details
Approval Date
7/11/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/9/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kevin Joseph Nokels, President
(402) 818-2050
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/11/2018
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