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ACCREDO HEALTH GROUP, INC.
CAH171319-00 Rural Health Resources of Jackson County, Inc. d/b/a Holton Community Hospital
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Covered Entity Details
Entity Name
Rural Health Resources of Jackson County, Inc. d/b/a Holton Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171319-00
Entity Address
1110 Columbine Dr.
Holton, KS 66436
Medicare Provider Number
171319
Participating Start Date
10/1/2012
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carrie Lutz, CEO
(785) 364-9645
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/15/2025
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