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ACCREDO HEALTH GROUP INC
PED103304-00 NEMOURS CHILDRENS HOSPITAL
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Covered Entity Details
Entity Name
NEMOURS CHILDRENS HOSPITAL
Subdivision Name
Type
Children's Hospital
340B ID
PED103304-00
Entity Address
6535 NEMOURS PARKWAY
ORLANDO, FL 32827
Medicare Provider Number
103304
Participating Start Date
4/1/2017
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
4901 W RENO AVE STE 950
OKLAHOMA CITY, OK 73127-6394
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hal Williams, Operational Vice President Central Florida Finance
(407) 650-7456
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/13/2018
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