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ACCREDO HEALTH GROUP, INC.
DSH250048 ST. DOMINIC-JACKSON MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250048
Entity Address
969 LAKELAND DRIVE
JACKSON, MS 39216-4606
Medicare Provider Number
250048
Participating Start Date
7/1/2008
Last Recertification Date
8/27/2024
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
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sam Scott, Sr Vice President / CFO
(601) 200-6570
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/2/2024
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