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ACCREDO HEALTH GROUP, INC.
STD70461 Hilton Dermatology and Aesthetics
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Covered Entity Details
Entity Name
Hilton Dermatology and Aesthetics
Subdivision Name
Hilton Dermatology and Aesthetics
Type
Sexually Transmitted Diseases
340B ID
STD70461
Entity Address
2050 Gause Blvd E, Suite 100
Slidell, LA 70461
Grant Number
NH25PS005176
Participating Start Date
4/1/2024
Last Recertification Date
5/9/2024
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
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
angel barrios, practice manager
(985) 649-5880
Contract Pharmacy Representative
Accredo
Travis Behrens, Managing Director
(314) 486-5839
Signed By Date
7/12/2024
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