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ACCREDO HEALTH GROUP, INC.
CAH241356-00 MILLE LACS HOSPITAL
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Covered Entity Details
Entity Name
MILLE LACS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241356-00
Entity Address
200 N Elm St
ONAMIA, MN 56359
Medicare Provider Number
241356
Participating Start Date
4/1/2015
Last Recertification Date
8/12/2024
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
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Nelson, CEO
(320) 532-2580
Contract Pharmacy Representative
Express Scripts
Gene McCabe, 340B Lead Director
(615) 943-7500
Signed By Date
10/7/2024
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