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CYSTIC FIBROSIS SERVICES, LLC
CAH141321-00 Franklin Hospital District
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Covered Entity Details
Entity Name
Franklin Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141321-00
Entity Address
201 Bailey Lane
Benton, IL 62812-1999
Medicare Provider Number
141321
Participating Start Date
1/1/2013
Last Recertification Date
8/27/2024
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
1/14/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rikki S. Bonthron, CFO
(618) 439-3161 Ext: 9601
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2021
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