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ACCREDO HEALTH GROUP, INC.
DSH230046 UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
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Covered Entity Details
Entity Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230046
Entity Address
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Medicare Provider Number
230046
Participating Start Date
1/1/2004
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
6272 LEE VISTA BLVD STE 100
ORLANDO, FL 32822
Pharmacy Comments
Contract Details
Approval Date
7/17/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tony Denton, COO
(734) 647-6623
Contract Pharmacy Representative
Joseph Casaccia, Pharmacist In Charge
(407) 852-4903
Signed By Date
7/17/2015
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