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ACCREDO HEALTH GROUP, INC.
DSH310076 SAINT BARNABAS MEDICAL CENTER
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Covered Entity Details
Entity Name
SAINT BARNABAS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310076
Entity Address
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039-5668
Medicare Provider Number
310076
Participating Start Date
1/1/2017
Last Recertification Date
11/20/2017
Entity Termination Date
7/1/2018
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
45 ROUTE 46 EAST
SUITE 609
PINE BROOK, NJ 07058
Pharmacy Comments
Contract Details
Approval Date
1/19/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Richard Davis, Chief Financial Officer
(973) 322-5612
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
1/19/2017
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