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CYSTIC FIBROSIS SERVICES, LLC
CH04895M Southeast Alabama Rural Health Associates
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Covered Entity Details
Entity Name
Southeast Alabama Rural Health Associates
Subdivision Name
Dothan Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH04895M
Entity Address
4300 West Main Street
Suite 300
Dothan, AL 36305
Grant Number
H80CS00376
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
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
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pamylon Bowers, Chief Executive Officer
(334) 670-6726 Ext: 173
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/9/2023
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