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ACCREDO HEALTH GROUP, INC.
STD89149 Sagebrush Health Services
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Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Hummingbird Medical Group
Type
Sexually Transmitted Diseases
340B ID
STD89149
Entity Address
5550 Painted Mirage Rd.
110
Las Vegas, NV 89149
Grant Number
6 NH25PS005179-05-03
Participating Start Date
11/29/2022
Last Recertification Date
6/4/2024
Entity Termination Date
1/14/2025
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
4/23/2023
Contract Begin Date
6/6/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/23/2023
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