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CYSTIC FIBROSIS SERVICES, LLC
CH090130 SUNSET COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SUNSET COMMUNITY HEALTH CENTER
Subdivision Name
SUNSET COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH090130
Entity Address
115 NORTH SOMERTON AVENUE
SOMERTON, AZ 85350-0538
Grant Number
H80CS04321
Participating Start Date
7/1/1997
Last Recertification Date
2/17/2025
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
1/3/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID D ROGERS, CEO
(928) 819-8802
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/3/2020
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