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ACCREDO HEALTH GROUP, INC.
HM06484 Connecticut Children's Hemophilia Treatment Center
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Covered Entity Details
Entity Name
Connecticut Children's Hemophilia Treatment Center
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM06484
Entity Address
2 Ivy Brook Road
Suite 213
Shelton, CT 06484
Grant Number
H30MC24048
Participating Start Date
4/1/2020
Last Recertification Date
2/17/2025
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
1/17/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sarah Matney, Chief Nursing Officer, SVP Clinical Operations
(860) 545-9791
Contract Pharmacy Representative
Accredo
Matthew Hawthorne, Account Director- Bleeding Disorders
(614) 246-1556
Signed By Date
1/14/2020
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