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ACCREDO HEALTH GROUP INC
DSH370091 Saint Francis Hospital
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Covered Entity Details
Entity Name
Saint Francis Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH370091
Entity Address
6161 South Yale Avenue
Tulsa, OK 74136
Medicare Provider Number
370091
Participating Start Date
4/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
2410 WARDLOW RD
STE 101
CORONA, CA 92878
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah D Dage, SRVP/Chief Financial Officer
(918) 494-8418
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
10/7/2024
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