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ACCREDO HEALTH GROUP, INC.
CAH451384-00 D.M. COGDELL MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
D.M. COGDELL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451384-00
Entity Address
1700 COGDELL BLVD
SNYDER, TX 79549
Medicare Provider Number
451384
Participating Start Date
10/1/2016
Last Recertification Date
8/14/2024
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
4/2/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John H. Everett, COO
(325) 574-7439
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/2/2020
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