Contract Pharmacy Details

ACCREDO HEALTH GROUP INC
DSH450236 CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance

Entity Name

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH450236

Entity Address

115 AIRPORT ROAD
SULPHUR SPRINGS, TX 75482

Medicare Provider Number

450236

Participating Start Date

1/1/2018

Last Recertification Date

9/11/2023

Pharmacy Name

ACCREDO HEALTH GROUP INC

Pharmacy Address

1620 CENTURY CENTER PKWY
# 109
MEMPHIS, TN 38134-8849

Pharmacy Comments

Approval Date

4/13/2020

Contract Begin Date

6/8/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Paul Harvey, CEO
(903) 439-4052

Signed By Date

4/13/2020

Contract Pharmacy Representative

Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500