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ACCREDO HEALTH GROUP, INC.
RWII37917 Positively Living, Inc.
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Covered Entity Details
Entity Name
Positively Living, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII37917
Entity Address
1925 Ailor Ave
Knoxville, TN 37921
Grant Number
X07HA00024
Participating Start Date
4/1/2016
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
WHOLESALE DIVISION
1680 CENTURY CENTER PARKWAY, SUITE 8
SUITE 8
MEMPHIS, TN 38134
Pharmacy Comments
Contract Details
Approval Date
4/30/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Steve Jenkins, Chief Executive Officer
(865) 556-5217
Contract Pharmacy Representative
Positively Living
Michael Christian Lott, QI/QM Coordinator
(423) 280-5101
Signed By Date
4/30/2019
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