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CYSTIC FIBROSIS SERVICES, LLC
CHC26604-05 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
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Covered Entity Details
Entity Name
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Subdivision Name
Desert Mission Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26604-05
Entity Address
9015 N 3rd St
PHOENIX, AZ 85020
Grant Number
H80CS26604
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
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
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julia Karl, CFO
(602) 786-0004
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/12/2023
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