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ACCREDO HEALTH GROUP, INC.
STD33305 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
WILTON MANORS WELLNESS CENTER
Type
Sexually Transmitted Diseases
340B ID
STD33305
Entity Address
2097 WILTON DRIVE
WILTON MANORS, FL 33305
Grant Number
NH25PS005131
Participating Start Date
1/1/2022
Last Recertification Date
5/30/2024
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
4/13/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2024
Agreement registered in error
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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