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CYSTIC FIBROSIS SERVICES, LLC
CH051830 INGHAM COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
INGHAM COUNTY HEALTH DEPARTMENT
Subdivision Name
CEDAR COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH051830
Entity Address
5303 S. Cedar St.
LANSING, MI 48911-3800
Grant Number
H80CS00030
Participating Start Date
10/1/2007
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
4/16/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kris Drake, Executive Director/Deputy Health Officer
(517) 887-4361
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/16/2024
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