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ACCREDO HEALTH GROUP, INC.
CAH161366-00 Shenandoah Medical Center
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Covered Entity Details
Entity Name
Shenandoah Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161366-00
Entity Address
300 Pershing Ave
Shenandoah, IA 51601-2355
Medicare Provider Number
161366
Participating Start Date
10/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
PHARMACY
2 BOULDEN CIRCLE SUITE 1
NEW CASTLE, DE 19720
Pharmacy Comments
Contract Details
Approval Date
4/18/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Richard Sells, President and CEO
(712) 246-7160
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/18/2022
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