340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
STD704032 David L. Schneider, M.D., A.P.M.C.
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Covered Entity Details
Entity Name
David L. Schneider, M.D., A.P.M.C.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD704032
Entity Address
15825 Professional Plaza, Suite A
Hammond, LA 70403
Grant Number
NH25PS005176
Participating Start Date
9/22/2022
Last Recertification Date
5/7/2025
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
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