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CYSTIC FIBROSIS SERVICES, LLC
SCH450010-00 United Regional Health Care System
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Covered Entity Details
Entity Name
United Regional Health Care System
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450010-00
Entity Address
1600 11th Street
Wichita Falls, TX 76301
Medicare Provider Number
450010
Participating Start Date
1/1/2013
Last Recertification Date
9/14/2022
Entity Termination Date
1/1/2023
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
1/6/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robert M. Pert, Chief Financial Officer
(940) 764-3023
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/6/2020
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