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ACCREDO HEALTH GROUP, INC.
DSH140048 ADVOCATE SOUTHLAND HEALTH NETWORK
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Covered Entity Details
Entity Name
ADVOCATE SOUTHLAND HEALTH NETWORK
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140048
Entity Address
2320 E. 93RD ST.
CHICAGO, IL 60617
Medicare Provider Number
140048
Participating Start Date
10/1/2015
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/12/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian Kelly, VP Finance, Advocate Trinity Hospital
(708) 213-3004
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/17/2018
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