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ACCREDO HEALTH GROUP, INC.
PED363303-00 CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
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Covered Entity Details
Entity Name
CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON
Subdivision Name
Type
Children's Hospital
340B ID
PED363303-00
Entity Address
ONE PERKINS SQUARE
AKRON, OH 44308-1063
Medicare Provider Number
363303
Participating Start Date
2/26/2010
Last Recertification Date
8/30/2024
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
7/8/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alicia Lamancusa, Vice President Finance
(330) 543-8171
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/8/2022
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