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CYSTIC FIBROSIS SERVICES, LLC
DSH390044 READING HOSPITAL
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Covered Entity Details
Entity Name
READING HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390044
Entity Address
420 South 5th Avenue
West Reading, PA 19611
Medicare Provider Number
390044
Participating Start Date
1/1/2017
Last Recertification Date
8/26/2024
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
10/7/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Ehinger, CFO
(484) 628-8445
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/7/2021
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