Contract Pharmacy Details

ACCREDO HEALTH GROUP, INC.
STD70002 David L. Schneider, M.D., A.P.M.C.

Covered Entity Details

Entity Name

David L. Schneider, M.D., A.P.M.C.

Subdivision Name

David L. Schneider, M.D. A.P.M.C.

Type

Sexually Transmitted Diseases

340B ID

STD70002

Entity Address

3225 Danny Park, Suite 100
Metairie, LA 70002

Grant Number

5NU62PS924522

Participating Start Date

9/22/2022

Last Recertification Date

5/6/2024

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

10/14/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Adil Aryman Fatakia, MD
(504) 895-5357 Ext: 1

Contract Pharmacy Representative

Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044

Signed By Date

10/14/2023

340B Drug Pricing Program Database