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ACCREDO HEALTH GROUP INC
HM1595 Ann and Robert H. Lurie Children's Hospital of Chicago
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Covered Entity Details
Entity Name
Ann and Robert H. Lurie Children's Hospital of Chicago
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1595
Entity Address
225 E Chicago Ave
CHICAGO, IL 60611
Grant Number
H30MC24052
Participating Start Date
7/1/2000
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
650 W GRAND AVE STE 102
ELMHURST, IL 60126-1024
Pharmacy Comments
Contract Details
Approval Date
2/25/2013
Contract Begin Date
2/25/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lina Patel, Administrative Director, HemOncSCT
(312) 227-4848
Contract Pharmacy Representative
Accredotx
JANEL A. RAMM, BRANCH MANAGER
(913) 451-2919
Signed By Date
1/4/2013
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