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ACCREDO HEALTH GROUP, INC.
RRC360064-00 ST. ELIZABETH HEALTH CENTER
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Covered Entity Details
Entity Name
ST. ELIZABETH HEALTH CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360064-00
Entity Address
1044 BELMONT AVENUE
YOUNGSTOWN, OH 44504-1006
Medicare Provider Number
360064
Participating Start Date
7/1/2025
Last Recertification Date
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
1/1/2023
Covered Entity Terminated
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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