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ACCREDO HEALTH GROUP, INC.
DSH050082 ST JOHNS REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
ST JOHNS REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050082
Entity Address
1600 N ROSE AVE
OXNARD, CA 93030
Medicare Provider Number
050082
Participating Start Date
1/1/2007
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matt Richardson, VP/CFO Service Area CFO
(805) 739-3108
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
1/10/2020
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