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ACCREDO HEALTH GROUP, INC.
DSH310064 ATLANTICARE REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
ATLANTICARE REGIONAL MEDICAL CENTER
Subdivision Name
CITY DIVISION
Type
Disproportionate Share Hospital
340B ID
DSH310064
Entity Address
1925 PACIFIC AVENUE
ATLANTIC CITY, NJ 08401
Medicare Provider Number
310064
Participating Start Date
7/1/2012
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
7/9/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hak Kim, Chief Financial Officer
(609) 569-7031
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/9/2020
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