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CYSTIC FIBROSIS SERVICES, LLC
PED263302-00 The Children's Mercy Hospital
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Covered Entity Details
Entity Name
The Children's Mercy Hospital
Subdivision Name
Type
Children's Hospital
340B ID
PED263302-00
Entity Address
2401 Gillham Road
Kansas City, MO 64108
Medicare Provider Number
263302
Participating Start Date
12/8/2011
Last Recertification Date
9/6/2024
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
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian O'Neal, Senior VP of Allied Health
(816) 302-8059
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2023
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