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ACCREDO HEALTH GROUP, INC.
CH06161E COASTAL HEALTH & WELLNESS
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Covered Entity Details
Entity Name
COASTAL HEALTH & WELLNESS
Subdivision Name
Coastal Health & Wellness - Galveston
Type
HRSA-Funded Health Center
340B ID
CH06161E
Entity Address
4700 BROADWAY STREET STE 100
GALVESTON, TX 77551-4241
Grant Number
H80CS00344
Participating Start Date
7/1/1997
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ami Cotharn, Chief Operating Officer
(409) 938-2218
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
4/10/2024
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