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ACCREDO HEALTH GROUP, INC.
DSH340030 DUKE UNIVERSITY HOSPITAL
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Covered Entity Details
Entity Name
DUKE UNIVERSITY HOSPITAL
Subdivision Name
Duke University Hospital Main
Type
Disproportionate Share Hospital
340B ID
DSH340030
Entity Address
2301 Erwin Road
DURHAM, NC 27710
Medicare Provider Number
340030
Participating Start Date
4/1/2002
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
4750 E 450 S
SUITE A
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Andrew Owens, Executive Vice President and COO, DUHS, President DUH
(919) 681-6624
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
7/13/2023
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