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ACCREDO HEALTH GROUP, INC.
RRC100307-00 ST. VINCENTS MEDICAL CENTER SOUTHSID
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Covered Entity Details
Entity Name
ST. VINCENTS MEDICAL CENTER SOUTHSID
Subdivision Name
Type
Rural Referral Center
340B ID
RRC100307-00
Entity Address
4201 BELFORT ROAD
JACKSONVILLE, FL 32216
Medicare Provider Number
100307
Participating Start Date
10/1/2020
Last Recertification Date
8/20/2024
Entity Termination Date
4/1/2025
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
5/2/2023
Contract Begin Date
5/10/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Susan Cornejo, Chief Operating Officer
(850) 416-6206
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
5/2/2023
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