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ACCREDO HEALTH GROUP, INC.
CH020490 William F. Ryan Community Health Center, Inc.
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Covered Entity Details
Entity Name
William F. Ryan Community Health Center, Inc.
Subdivision Name
Ryan Health | West 97th Street
Type
HRSA-Funded Health Center
340B ID
CH020490
Entity Address
110 W 97th St
NEW YORK, NY 10025-6450
Grant Number
H80CS00061
Participating Start Date
7/1/1998
Last Recertification Date
3/5/2025
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
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott D. Morgan, Chief Financial Officer
(212) 769-7245
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
1/16/2024
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