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ACCREDO HEALTH GROUP, INC.
RWII78852 MAVERICK COUNTY HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
MAVERICK COUNTY HOSPITAL DISTRICT
Subdivision Name
RYAN WHITE HIV PROGRAM
Type
Ryan White Part B
340B ID
RWII78852
Entity Address
3406 Bob Rogers Drive
STE 230
Eagle Pass, TX 78852
Grant Number
X07HA00054
Participating Start Date
10/1/2017
Last Recertification Date
2/20/2025
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
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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