340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
DSH230080 MCLAREN CENTRAL MICHIGAN
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Covered Entity Details
Entity Name
MCLAREN CENTRAL MICHIGAN
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230080
Entity Address
1221 SOUTH DRIVE
MT PLEASANT, MI 48858
Medicare Provider Number
230080
Participating Start Date
10/1/2021
Last Recertification Date
8/26/2024
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
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tara Soules, Chief Financial Officer
(989) 772-6818
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
1/15/2024
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