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ACCREDO HEALTH GROUP, INC.
STD303091 AID Atlanta, Inc
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Covered Entity Details
Entity Name
AID Atlanta, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD303091
Entity Address
1438 W. Peachtree Street, NW
Atlanta, GA 30309
Grant Number
NU62PS924684
Participating Start Date
7/1/2015
Last Recertification Date
5/14/2025
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
4/13/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
Express Scripts
Gene McCabe, 340B Sales Directo
(615) 943-7520
Signed By Date
4/13/2024
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