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ACCREDO HEALTH GROUP, INC.
DSH420019 MUSC HEALTH CHESTER MEDICAL CENTER
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Covered Entity Details
Entity Name
MUSC HEALTH CHESTER MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH420019
Entity Address
ONE MEDICAL PARK DRIVE
CHESTER, SC 29706
Medicare Provider Number
420019
Participating Start Date
4/1/2024
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
1/16/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas C Crawford, Chief Operating Officer
(843) 792-8775
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
1/16/2025
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