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ACCREDO HEALTH GROUP INC
DSH220010 LAWRENCE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
LAWRENCE GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH220010
Entity Address
1 GENERAL STREET
LAWRENCE, MA 01841
Medicare Provider Number
220010
Participating Start Date
7/1/2004
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
201 GREAT CIRCLE ROAD
NASHVILLE, TN 37228
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah J. Wilson, CFO
(978) 683-4000 Ext: 2004
Contract Pharmacy Representative
Accredo Health Group
Gene McCabe, 340B Sales Director
(615) 943-7500
Signed By Date
10/17/2016
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