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ACCREDO HEALTH GROUP, INC.
RRC300019-00 CHESHIRE MEDICAL CENTER
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Covered Entity Details
Entity Name
CHESHIRE MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC300019-00
Entity Address
580 COURT STREET
KEENE, NH 03431
Medicare Provider Number
300019
Participating Start Date
7/1/2023
Last Recertification Date
8/19/2024
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
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathryn Willbarger, COO
(603) 354-5488
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
1/15/2025
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