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ACCREDO HEALTH GROUP, INC
HM10988 ST LOUIS UNIVERSITY MEDICAL CENTER
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Covered Entity Details
Entity Name
ST LOUIS UNIVERSITY MEDICAL CENTER
Subdivision Name
CENTER FOR BLEEDING & THROMBOTIC DISORDERS
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM10988
Entity Address
3655 VISTA AVENUE
ST LOUIS, MO 63110
Grant Number
H30MC00040
Participating Start Date
1/1/2002
Last Recertification Date
2/26/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC
Pharmacy Address
749 GODDARD AVENUE
CHESTERFIELD, MO 63005
Pharmacy Comments
Contract Details
Approval Date
7/11/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
SUE STEVENS, DIRECTOR
(314) 577-8763
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/11/2016
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