340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ACCREDO HEALTH GROUP, INC.
CAH141313-00 MASON DISTRICT HOSPITAL
Print
Covered Entity Details
Entity Name
MASON DISTRICT HOSPITAL
Subdivision Name
MASON DISTRICT HOSPITAL
Type
Critical Access Hospital
340B ID
CAH141313-00
Entity Address
615 NORTH PROMENADE STREET
HAVANA, IL 62644-0530
Medicare Provider Number
141313
Participating Start Date
7/1/2020
Last Recertification Date
8/12/2024
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
Leann Kay Bonnett, CFO
(309) 543-8505
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/15/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session