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CYSTIC FIBROSIS SERVICES, LLC
CHC24169-00 Health Ministries Clinic, Inc.
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Covered Entity Details
Entity Name
Health Ministries Clinic, Inc.
Subdivision Name
Health Ministries Clinic Dental Office
Type
HRSA-Funded Health Center
340B ID
CHC24169-00
Entity Address
805 Medical Center Dr.
Newton, KS 67114
Grant Number
H80CS24169
Participating Start Date
1/1/2014
Last Recertification Date
3/3/2025
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
7/3/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/26/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Matthew Schmidt, Chief Executive Officer
(316) 281-7314
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/3/2017
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