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ACCREDO HEALTH GROUP INC
HM96826 Kapiolani Medical Center for Women and Children
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Covered Entity Details
Entity Name
Kapiolani Medical Center for Women and Children
Subdivision Name
Hemophilia and Thrombosis Treatment Center of Hawaii
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM96826
Entity Address
1319 Punahou Street
Honolulu, HI 96826
Grant Number
H30MC24045
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
2040 W RIO SALADO PKWY STE 101B
TEMPE, AZ 85281-2010
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARTHA SMITH, Executive Vice President, Oahu Operations
(808) 522-2520
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
1/13/2020
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