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ACCREDO HEALTH GROUP INC
HM84113 IHC HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
IHC HEALTH SERVICES, INC.
Subdivision Name
DBA PRIMARY CHILDREN'S HOSPITAL - ON BEHALF OF Utah Center for Bleeding and Clotting Disorders
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM84113
Entity Address
Primary Children's Hospital, 100 N MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84113
Grant Number
H30MC24049
Participating Start Date
7/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
3488 S MAIN ST
SALT LAKE CITY, UT 84115-4419
Pharmacy Comments
Contract Details
Approval Date
7/8/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kerry Gillespie, CFO-Specialty Based Care
(801) 442-2459
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/8/2019
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