Contract Pharmacy Details

CYSTIC FIBROSIS SERVICES, LLC
DSH340061 UNC Hospitals

Covered Entity Details

Entity Name

UNC Hospitals

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340061

Entity Address

101 MANNING DR.
CHAPEL HILL, NC 27514

Medicare Provider Number

340061

Participating Start Date

12/1/1992

Last Recertification Date

9/9/2024

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

10/9/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744

Contract Pharmacy Representative

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

Signed By Date

10/9/2020

340B Drug Pricing Program Database