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ACCREDO HEALTH GROUP, INC.
DSH490094 RICHMOND COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
RICHMOND COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH490094
Entity Address
1500 North 28TH Street
RICHMOND, VA 23223
Medicare Provider Number
490094
Participating Start Date
1/1/2004
Last Recertification Date
8/21/2024
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
8/8/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/11/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Stephan Quiriconi, Senior VP of Finance
(804) 281-8301
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
8/8/2019
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