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ACCREDO HEALTH GROUP, INC.
STD85382 Institute for Liver Health
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Covered Entity Details
Entity Name
Institute for Liver Health
Subdivision Name
Peoria
Type
Sexually Transmitted Diseases
340B ID
STD85382
Entity Address
15396 N 83rd Avenue
Bldg E
Peoria, AZ 85381
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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