340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
STD700723 Harris M. Blackman, MD, LLC
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Covered Entity Details
Entity Name
Harris M. Blackman, MD, LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD700723
Entity Address
1111 Medical Center Boulevard
N-401
Marrero, LA 70072
Grant Number
NU62PS924522
Participating Start Date
4/1/2023
Last Recertification Date
5/6/2024
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
10/15/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Ladd Bowman, Office Manager
(504) 347-2141 Ext: 1
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
10/15/2023
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