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CYSTIC FIBROSIS SERVICES, LLC
DSH040156 Baptist Memorial Hospital-Crittenden, Inc.
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Covered Entity Details
Entity Name
Baptist Memorial Hospital-Crittenden, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040156
Entity Address
2100 N 7th ST
West Memphis, AR 72301
Medicare Provider Number
040156
Participating Start Date
4/15/2020
Last Recertification Date
8/21/2024
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
1/7/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/7/2021
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