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CYSTIC FIBROSIS SERVICES, LLC
CH044090 HealthPoint Family Care, Inc.
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Covered Entity Details
Entity Name
HealthPoint Family Care, Inc.
Subdivision Name
HealthPoint Covington
Type
HRSA-Funded Health Center
340B ID
CH044090
Entity Address
1401 Madison Ave
Covington, KY 41011-3313
Grant Number
H80CS00422
Participating Start Date
4/1/1997
Last Recertification Date
2/14/2025
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
10/7/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sally Jordan, CEO
(859) 655-6127
Contract Pharmacy Representative
Walgreens
Nicole Cassell, Senior Analyst
(847) 315-4650
Signed By Date
10/7/2022
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