340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
CAH531308-00 JOHNSON COUNTY HEALTHCARE
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Covered Entity Details
Entity Name
JOHNSON COUNTY HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531308-00
Entity Address
497 W LOTT St
BUFFALO, WY 82834
Medicare Provider Number
531308
Participating Start Date
7/1/2018
Last Recertification Date
8/20/2024
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
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Luke Senden, CEO
(307) 684-6188
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/14/2021
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