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CYSTIC FIBROSIS SERVICES, LLC
CH04094BN Blue Ridge Community Health Services, Inc.
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Covered Entity Details
Entity Name
Blue Ridge Community Health Services, Inc.
Subdivision Name
Pardee BlueMD 1824 Pisgah Drive
Type
HRSA-Funded Health Center
340B ID
CH04094BN
Entity Address
1824 Pisgah Drive
Hendersonville, NC 28791-3579
Grant Number
H80CS00650
Participating Start Date
9/13/2022
Last Recertification Date
2/17/2025
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
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Sunday, VP Finance, CFO
(828) 696-1175
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/12/2023
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