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ACCREDO HEALTH GROUP, INC.
SCH230110-00 Corewell Health Ludington Hospital
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Covered Entity Details
Entity Name
Corewell Health Ludington Hospital
Subdivision Name
Ludington
Type
Sole Community Hospital
340B ID
SCH230110-00
Entity Address
1 N Atkinson Dr
Ludington, MI 49431
Medicare Provider Number
230110
Participating Start Date
1/1/2020
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
4750 E 450 S
SUITE A
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Sella, Senior Director, Finance
(616) 643-9168
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
1/11/2022
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