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ACCREDO HEALTH GROUP, INC.
DSH010112 Whitfield Regional Hospital
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Covered Entity Details
Entity Name
Whitfield Regional Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010112
Entity Address
105 US HIGHWAY 80 EAST
DEMOPOLIS, AL 36732
Medicare Provider Number
010112
Participating Start Date
4/1/2005
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
4750 E 450 S
SUITE A
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
1/9/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Doug Brooker, CFO
(334) 287-2529
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
1/9/2025
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