Contract Pharmacy Details

ACCREDO HEALTH GROUP, INC.
CH036640 CHASE BREXTON HEALTH SERVICES, INC

Covered Entity Details

Entity Name

CHASE BREXTON HEALTH SERVICES, INC

Subdivision Name

Chase Brexton Health Services, Inc.

Type

HRSA-Funded Health Center

340B ID

CH036640

Entity Address

1111 North Charles Street
Baltimore, MD 21201-5505

Grant Number

H80CS00734

Participating Start Date

4/1/1997

Last Recertification Date

2/10/2025

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

4/2/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Eric Turnbaugh, CFO
(410) 837-2050 Ext: 1148

Contract Pharmacy Representative

Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044

Signed By Date

4/2/2024

340B Drug Pricing Program Database