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ACCREDO HEALTH GROUP, INC.
CH02179AG HUDSON HEADWATERS HEALTH NETWORK
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Covered Entity Details
Entity Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Hudson Headwaters Mobile Health Unit 1
Type
HRSA-Funded Health Center
340B ID
CH02179AG
Entity Address
27 Carey Rd
Queensbury, NY 12804-7880
Grant Number
H80CS00159
Participating Start Date
10/1/2021
Last Recertification Date
2/10/2025
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
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Tournier, CFO
(518) 761-0300 Ext: 31558
Contract Pharmacy Representative
Accredo Health
Kristin Hogan, Account Executive 340B
(314) 719-5510
Signed By Date
10/13/2023
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