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CYSTIC FIBROSIS SERVICES, LLC
HV333113 NORTH BROWARD HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
NORTH BROWARD HOSPITAL DISTRICT
Subdivision Name
Cora E. Braynon Family Health Center
Type
Ryan White Part C
340B ID
HV333113
Entity Address
200 NW 7TH AVENUE
FT. LAUDERDALE, FL 33311
Grant Number
H76HA00210
Participating Start Date
10/1/1998
Last Recertification Date
2/28/2025
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
4/20/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Beth A Cherry, Vice President
(954) 473-3076
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/20/2018
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