340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
CAH521316-00 Tri-County Memorial Hospital, Inc.
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Covered Entity Details
Entity Name
Tri-County Memorial Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521316-00
Entity Address
18601 Lincoln Street
Whitehall, WI 54773
Medicare Provider Number
521316
Participating Start Date
7/1/2012
Last Recertification Date
8/15/2024
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
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristy Millering, Finance Administrator
(715) 538-1788 Ext: 64024
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
7/9/2024
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