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ACCREDO HEALTH GROUP, INC.
DSH120006 CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE
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Covered Entity Details
Entity Name
CASTLE MEDICAL CENTER dba ADVENTIST HEALTH CASTLE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH120006
Entity Address
640 ULUKAHIKI STREET
KAILUA, HI 96734
Medicare Provider Number
120006
Participating Start Date
4/1/2006
Last Recertification Date
8/29/2024
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
1/4/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
NICK JOHNSON, FINANCE OFFICER
(808) 263-5142
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Senior Director 340B sales
(615) 943-7500
Signed By Date
1/4/2024
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