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CYSTIC FIBROSIS SERVICES, LLC
STD33772 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
Advanced Care Physicians Group
Type
Sexually Transmitted Diseases
340B ID
STD33772
Entity Address
9375 US Highway 19 North
Suite A
Pinellas Park, FL 33782
Grant Number
NH25PS005131
Participating Start Date
7/1/2018
Last Recertification Date
5/8/2024
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
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
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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