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ACCREDO HEALTH GROUP, INC.
DSH260032 BARNES-JEWISH HOSPITAL
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Covered Entity Details
Entity Name
BARNES-JEWISH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260032
Entity Address
One Barnes-Jewish Hospital Plaza
St. Louis, MO 63110
Medicare Provider Number
260032
Participating Start Date
7/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
PHARMACY
2 BOULDEN CIRCLE SUITE 1
NEW CASTLE, DE 19720
Pharmacy Comments
Contract Details
Approval Date
4/21/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/8/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert Cannon, President
(314) 286-2118
Contract Pharmacy Representative
Accredo Health Group
Mark Leeper, Senior Director
(317) 240-8383
Signed By Date
4/21/2015
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