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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
201 GREAT CIRCLE ROAD
NASHVILLE, TN 37228
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
1/11/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Tony Denton, COO
(734) 647-6623
Contract Pharmacy Representative
Vince Fayette, Pharmacist In Charge
(615) 687-0011
Signed By Date
7/17/2015
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