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CYSTIC FIBROSIS SERVICES, LLC
CAH321301-00 SOCORRO GENERAL HOSPITAL
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Covered Entity Details
Entity Name
SOCORRO GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321301-00
Entity Address
1202 HIGHWAY 60 WEST
SOCORRO, NM 87801
Medicare Provider Number
321301
Participating Start Date
1/1/2017
Last Recertification Date
9/4/2024
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
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandra C. Podley, VP Operations PDS
(505) 923-5364
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2018
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