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CYSTIC FIBROSIS SERVICES, LLC
CH030130 PARK WEST HEALTH SYSTEMS INCORPORATED
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Covered Entity Details
Entity Name
PARK WEST HEALTH SYSTEMS INCORPORATED
Subdivision Name
PARK WEST MEDICAL CENTER - BELVEDERE
Type
HRSA-Funded Health Center
340B ID
CH030130
Entity Address
3319 W Belvedere Ave
Baltimore, MD 21215-5143
Grant Number
H80CS00067
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
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
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALLEN J. BENNETT, PRESIDENT & CEO
(410) 542-7800 Ext: 7501
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/14/2025
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