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ACCREDO HEALTH GROUP, INC.
DSH190065 BATON ROUGE GENERAL MEDICAL CENTER
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Covered Entity Details
Entity Name
BATON ROUGE GENERAL MEDICAL CENTER
Subdivision Name
Mid City
Type
Disproportionate Share Hospital
340B ID
DSH190065
Entity Address
8585 Picardy Ave.
BATON ROUGE, LA 70809
Medicare Provider Number
190065
Participating Start Date
9/16/2005
Last Recertification Date
9/8/2024
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
10/14/2020
Contract Begin Date
11/3/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kendall Johnson, CFO
(225) 237-1645
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/14/2020
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