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ACCREDO HEALTH GROUP, INC.
DSH230217 Oaklawn Hospital
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Covered Entity Details
Entity Name
Oaklawn Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230217
Entity Address
200 North Madison
Marshall, MI 49068
Medicare Provider Number
230217
Participating Start Date
10/1/2011
Last Recertification Date
9/5/2024
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
7/18/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrew James Poole, CFO
(269) 789-3936
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Senior Director 340B sales
(615) 943-7500
Signed By Date
7/18/2023
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