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CYSTIC FIBROSIS SERVICES, LLC
STD337132 Love the Golden Rule, Inc.
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Covered Entity Details
Entity Name
Love the Golden Rule, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337132
Entity Address
3600 Central Ave
SAINT PETERSBURG, FL 33711
Grant Number
NH25PS004342
Participating Start Date
7/1/2018
Last Recertification Date
5/16/2024
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
4/13/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Jennings Wallace, Medical Director
(727) 826-0700
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2019
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