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CYSTIC FIBROSIS SERVICES, LLC
STD32209 University of Florida
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Covered Entity Details
Entity Name
University of Florida
Subdivision Name
University of Florida CARES Rainbow
Type
Sexually Transmitted Diseases
340B ID
STD32209
Entity Address
655 W. 8th St 3rd FL
Jacksonville, FL 32209
Grant Number
NH25PS005131
Participating Start Date
1/1/2020
Last Recertification Date
5/19/2024
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
10/30/2020
Contract Begin Date
11/10/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tina M. Bottini, Senior Asst. Dean, Research
(904) 244-9478
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/30/2020
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