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ACCREDO HEALTH GROUP, INC.
STD85140 Institute for Liver Health
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Covered Entity Details
Entity Name
Institute for Liver Health
Subdivision Name
Flagstaff
Type
Sexually Transmitted Diseases
340B ID
STD85140
Entity Address
1150 North San Francisco St.
Flagstaff, AZ 86001
Grant Number
nu51ps005142
Participating Start Date
1/1/2022
Last Recertification Date
5/22/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
7/26/2022
Contract Begin Date
8/8/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anita Kohli, CEO
(434) 825-0921
Contract Pharmacy Representative
Accredo
Casey Spiess, Director, 340B Business Development
(314) 486-5839
Signed By Date
7/26/2022
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