Contract Pharmacy Details

CYSTIC FIBROSIS SERVICES, LLC
CH032700 KEYSTONE RURAL HEALTH CENTER

Covered Entity Details

Entity Name

KEYSTONE RURAL HEALTH CENTER

Subdivision Name

ADMINISTRATION

Type

HRSA-Funded Health Center

340B ID

CH032700

Entity Address

111 Chambers Hill Drive, Suite 200
CHAMBERSBURG, PA 17201

Grant Number

H80CS00076

Participating Start Date

1/1/2000

Last Recertification Date

2/12/2025

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

6/28/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/21/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

6/28/2017

340B Drug Pricing Program Database