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CYSTIC FIBROSIS SERVICES, LLC
HV24847 Drexel University
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Covered Entity Details
Entity Name
Drexel University
Subdivision Name
Partnership Comprehensive Care Practice
Type
Ryan White Part C
340B ID
HV24847
Entity Address
1427 Vine Street
2nd & 5th Floors
Philadelphia, PA 19102
Grant Number
H76HA31531
Participating Start Date
4/1/2013
Last Recertification Date
2/10/2025
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
6/29/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aleister Saunders, Executive Vice Provost for Research & Innovation
(215) 895-6203
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/29/2017
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