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CYSTIC FIBROSIS SERVICES, LLC
CH08006A DENVER HEALTH AND HOSPITAL AUTHORITY
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Covered Entity Details
Entity Name
DENVER HEALTH AND HOSPITAL AUTHORITY
Subdivision Name
EASTSIDE FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH08006A
Entity Address
501 28th St
Denver, CO 80205-3003
Grant Number
H80CS00218
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
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
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Simon Hambidge, Chief Ambulatory Care Services
(303) 602-5120
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2022
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