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ACCREDO HEALTH GROUP, INC.
STD78852 Maverick County Hospital District
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Covered Entity Details
Entity Name
Maverick County Hospital District
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD78852
Entity Address
3406 Bob Rogers Dr.
STE. 210
Eagle Pass, TX 78852
Grant Number
NH25PS005182
Participating Start Date
1/1/2024
Last Recertification Date
5/6/2024
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
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nestor Bonilla, CEO
(830) 757-4961
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/15/2025
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