340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
DSH360276 ST ELIZABETH BOARDMAN HEALTH CTR
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Covered Entity Details
Entity Name
ST ELIZABETH BOARDMAN HEALTH CTR
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360276
Entity Address
8401 MARKET STREET
Boardman, OH 44512
Medicare Provider Number
360276
Participating Start Date
10/1/2017
Last Recertification Date
8/27/2024
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
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Anthony Seminaro, CFO, Markets
(941) 587-1220
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
1/14/2022
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