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ACCREDO HEALTH GROUP, INC.
CHC26511-13 UPPER GREAT LAKES FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
UPPER GREAT LAKES FAMILY HEALTH CENTER
Subdivision Name
Upper Great Lakes Family Health Mobil Unit I
Type
HRSA-Funded Health Center
340B ID
CHC26511-13
Entity Address
730 Lake Linden Ave
Laurium, MI 49913
Grant Number
H80CS26511
Participating Start Date
4/1/2024
Last Recertification Date
2/13/2025
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
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Trevor Hodges, CFO
(906) 483-1846
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/14/2025
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