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CYSTIC FIBROSIS SERVICES, LLC
SCH170191-00 UKHS GREAT BEND CAMPUS
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Covered Entity Details
Entity Name
UKHS GREAT BEND CAMPUS
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH170191-00
Entity Address
514 CLEVELAND
GREAT BEND, KS 67530
Medicare Provider Number
170191
Participating Start Date
1/1/2019
Last Recertification Date
8/26/2024
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
1/8/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rick Couldry, Vice-President, Pharmacy and Clinical Professions
(913) 588-2301
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/8/2019
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