340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
CAH521309-00 Moundview Memorial Hospital and Clinics, Inc.
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Covered Entity Details
Entity Name
Moundview Memorial Hospital and Clinics, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521309-00
Entity Address
402 West Lake Street
Friendship, WI 53934
Medicare Provider Number
521309
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
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
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Curtis L Dowdy, Finance Administrator
(608) 339-8455
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
7/15/2024
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