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CYSTIC FIBROSIS SERVICES, LLC
CH058480 NEIGHBORHOOD HEALTH CLINICS, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CLINICS, INC.
Subdivision Name
Neighborhood Health - Calhoun Site
Type
HRSA-Funded Health Center
340B ID
CH058480
Entity Address
1717 S. Calhoun st
FORT WAYNE, IN 46802
Grant Number
H80CS00548
Participating Start Date
7/1/1998
Last Recertification Date
2/11/2025
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
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Angela Zaegel, CEO
(260) 458-2641 Ext: 3634
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/11/2024
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