340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
DSH180020 MIDDLESBORO ARH HOSPITAL
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Covered Entity Details
Entity Name
MIDDLESBORO ARH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180020
Entity Address
3600 WEST CUMBERLAND AVE
MIDDLESBORO, KY 40965
Medicare Provider Number
180020
Participating Start Date
4/1/2005
Last Recertification Date
9/3/2024
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
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
1/15/2018
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