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CYSTIC FIBROSIS SERVICES, LLC
CAH331318-00 Carthage Area Hospital, Inc.
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Covered Entity Details
Entity Name
Carthage Area Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331318-00
Entity Address
1001 West Street
Carthage, NY 13619
Medicare Provider Number
331318
Participating Start Date
1/1/2015
Last Recertification Date
8/20/2024
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
1/14/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/13/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rich Duvall, CEO
(315) 519-5201
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2018
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