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ACCREDO HEALTH GROUP, INC.
PED123300-00 KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
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Covered Entity Details
Entity Name
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
Subdivision Name
Type
Children's Hospital
340B ID
PED123300-00
Entity Address
1319 PUNAHOU STREET
HONOLULU, HI 96826
Medicare Provider Number
123300
Participating Start Date
8/6/2010
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
David E Stumbaugh, VP, Supply Chain Management and Pharmacy
(808) 522-6946
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/11/2025
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