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ACCREDO HEALTH GROUP, INC.
CAH171359-00 Greeley County Health Services
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Covered Entity Details
Entity Name
Greeley County Health Services
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171359-00
Entity Address
506 Third Street
Tribune, KS 67879
Medicare Provider Number
171359
Participating Start Date
4/1/2013
Last Recertification Date
8/13/2024
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
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Trice Watts, CEO
(620) 376-4221
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
4/12/2024
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