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CYSTIC FIBROSIS SERVICES, LLC
STD322066 WellView Care, Inc
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Covered Entity Details
Entity Name
WellView Care, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD322066
Entity Address
1128 N Laura Street
Jacksonville, FL 32206
Grant Number
NH25PS005131
Participating Start Date
1/10/2025
Last Recertification Date
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
1/10/2025
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adolfo Lorenzo, President
(305) 491-3600
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
12/23/2024
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