340B Drug Pricing Program Database

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

Approval Date

7/17/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kern Low, Chief Medical Officer
(719) 557-7293

Contract Pharmacy Representative

St Mary-Corwin Medical Center
Francisco Sifuentes, 340B Program Coordinator
(719) 557-3015

Signed By Date

7/17/2018