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ACCREDO HEALTH GROUP, INC.
PED263302-00 The Children's Mercy Hospital
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Covered Entity Details
Entity Name
The Children's Mercy Hospital
Subdivision Name
Type
Children's Hospital
340B ID
PED263302-00
Entity Address
2401 Gillham Road
Kansas City, MO 64108
Medicare Provider Number
263302
Participating Start Date
12/8/2011
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2825 W PERIMETER RD STE 112
INDIANAPOLIS, IN 46241
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Cheri Hunt, Senior Vice President for Patient Care Services Chief Nursing Officer
(816) 234-3728
Contract Pharmacy Representative
Accredo
Casey Spiess, Director, 340B Business Development
(314) 486-5839
Signed By Date
1/11/2019
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