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ACCREDO HEALTH GROUP, INC.
CAH281339-00 MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281339-00
Entity Address
300 NORTH COLUMBIA AVENUE
SEWARD, NE 68434-2299
Medicare Provider Number
281339
Participating Start Date
7/1/2011
Last Recertification Date
8/13/2024
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
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROGER REAMER, CHIEF EXECUTIVE OFFICER
(402) 646-4629
Contract Pharmacy Representative
Accredo
Molly Mazzant, 340B
(239) 224-2753
Signed By Date
10/17/2022
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