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CYSTIC FIBROSIS SERVICES, LLC
CH042720 EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.
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Covered Entity Details
Entity Name
EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH042720
Entity Address
1490 HIGHWAY 487
SEBASTOPOL, MS 39359
Grant Number
H80CS00431
Participating Start Date
7/1/2002
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
10/3/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JILL BISHOP, CEO
(601) 625-7140
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/3/2022
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