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ACCREDO HEALTH GROUP, INC.
CH100460 COLUMBIA BASIN HEALTH ASSOCIATION
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Covered Entity Details
Entity Name
COLUMBIA BASIN HEALTH ASSOCIATION
Subdivision Name
OTHELLO CLINIC
Type
HRSA-Funded Health Center
340B ID
CH100460
Entity Address
1515 E. Columbia St.
Othello, WA 99344-1040
Grant Number
H80CS00147
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
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
Nieves Gomez, Chief Executive Officer
(509) 488-5256
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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