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ACCREDO HEALTH GROUP, INC.
HM1592 CHILDREN'S MEDICAL CENTER OF DALLAS
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Covered Entity Details
Entity Name
CHILDREN'S MEDICAL CENTER OF DALLAS
Subdivision Name
NORTH TEXAS HEMOPHILIA CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1592
Entity Address
1935 Medical District Drive
DALLAS, TX 75235
Grant Number
5H30MC24051-13-00
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
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
7/1/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Eager, SVP Finance & CFO
(214) 456-7890
Contract Pharmacy Representative
Accredo
Ann Campagna, PIC
(302) 395-8937
Signed By Date
7/1/2015
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