340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

ACCREDO HEALTH GROUP, INC.
CAH021306-00 PROVIDENCE KODIAK ISLAND MEDICAL CENTER

Covered Entity Details

Critical Access Hospital
CAH021306-00
1915 E REZANOF DRIVE
KODIAK, AK 99615
021306
1/1/2011
8/13/2024


Pharmacy Details

2825 W PERIMETER RD STE 112
INDIANAPOLIS, IN 46241

Contract Details

10/15/2021
1/1/2022

9/16/2022
Business decision by covered entity and/or pharmacy


Contacts


Karl E Hertz, Administrator
(907) 486-9567



Accredo
Casey Spiess, Director, 340B Business Development
(314) 486-5839
10/15/2021