Contract Pharmacy Details

CYSTIC FIBROSIS SERVICES, LLC
CH05183N INGHAM, COUNTY OF

Covered Entity Details

Entity Name

INGHAM, COUNTY OF

Subdivision Name

New Hope Community Health Center

Type

HRSA-Funded Health Center

340B ID

CH05183N

Entity Address

430 N. Larch St.
Suite 1
Lansing, MI 48912-1266

Grant Number

H80CS00030

Participating Start Date

1/1/2018

Last Recertification Date

1/29/2024

Entity Termination Date

1/1/2025

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

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

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

340B Drug Pricing Program Database