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ACCREDO HEALTH GROUP, INC.
RRC340014-00 FORSYTH MEMORIAL HOSPITAL INC
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Covered Entity Details
Entity Name
FORSYTH MEMORIAL HOSPITAL INC
Subdivision Name
Type
Rural Referral Center
340B ID
RRC340014-00
Entity Address
3333 SILAS CREEK PARKWAY
WINSTON SALEM, NC 27103
Medicare Provider Number
340014
Participating Start Date
7/7/2020
Last Recertification Date
8/23/2024
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
1/18/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Geoffrey Gardner, SVP Finance
(336) 718-2078
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
1/18/2021
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