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ACCREDO HEALTH GROUP, INC.
CAH331323-00 Wyoming County Community Hospital
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Covered Entity Details
Entity Name
Wyoming County Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331323-00
Entity Address
400 N Main St
Warsaw, NY 14569
Medicare Provider Number
331323
Participating Start Date
1/1/2025
Last Recertification Date
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
4/6/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Wright, Chief Financial Officer
(585) 786-8940
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/6/2025
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