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ACCREDO HEALTH GROUP, INC.
PED453301-00 Driscoll Children's Hospital
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Covered Entity Details
Entity Name
Driscoll Children's Hospital
Subdivision Name
Type
Children's Hospital
340B ID
PED453301-00
Entity Address
3533 South Alameda St
Corpus Christi, TX 78411
Medicare Provider Number
453301
Participating Start Date
10/1/2011
Last Recertification Date
8/22/2024
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
10/12/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steven Eric King, CFO
(361) 694-5934
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/12/2021
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