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CYSTIC FIBROSIS SERVICES, LLC
CH060530 Community Health Centers Inc.
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Covered Entity Details
Entity Name
Community Health Centers Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH060530
Entity Address
12716 N.E. 36TH STREET
OKLAHOMA CITY, OK 73140-3589
Grant Number
H80CS00320
Participating Start Date
10/1/2017
Last Recertification Date
3/5/2025
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
10/17/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/24/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Isabella Lawson, Chief Executive Officer
(405) 769-3301 Ext: 1232
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/17/2017
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