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CYSTIC FIBROSIS SERVICES, LLC
STD337811 Hope and Help Center of Central Florida Inc.
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida Inc.
Subdivision Name
West Central Gastroenterology, d/b/a Gastro Florida
Type
Sexually Transmitted Diseases
340B ID
STD337811
Entity Address
6225 66th St. N.
Pinellas Park, FL 33781
Grant Number
NH25PS004342
Participating Start Date
7/1/2018
Last Recertification Date
5/4/2020
Entity Termination Date
1/1/2021
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
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Lisa Barr, Executive Director
(407) 645-2577 Ext: 121
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/16/2018
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