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CYSTIC FIBROSIS SERVICES, LLC
CH052730 OPEN CITIES HEALTH CENTER
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Covered Entity Details
Entity Name
OPEN CITIES HEALTH CENTER
Subdivision Name
OPEN CITIES HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH052730
Entity Address
409 Dunlap St N
Saint Paul, MN 55104-4201
Grant Number
H80CS00112
Participating Start Date
10/1/2001
Last Recertification Date
2/23/2025
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
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Becky R Howard, Interim CEO
(651) 290-9248
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2024
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