340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
DSH260065 MERCY HOSPITAL SPRINGFIELD
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Covered Entity Details
Entity Name
MERCY HOSPITAL SPRINGFIELD
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260065
Entity Address
1235 EAST CHEROKEE
SPRINGFIELD, MO 65804-2263
Medicare Provider Number
260065
Participating Start Date
10/1/2006
Last Recertification Date
8/21/2024
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
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William J Roberts, Vice President Finance
(417) 820-7363
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/11/2025
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