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CYSTIC FIBROSIS SERVICES, LLC
RRC450011-00 ST. JOSEPH REGIONAL HEALTH CENTER
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Covered Entity Details
Entity Name
ST. JOSEPH REGIONAL HEALTH CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC450011-00
Entity Address
2801 FRANCISCAN DRIVE
BRYAN, TX 77802-2544
Medicare Provider Number
450011
Participating Start Date
10/1/2018
Last Recertification Date
8/27/2024
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
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Diaz, Chief Operating Officer
(979) 776-2580
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2018
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