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ACCREDO HEALTH GROUP INC
CH091290 HO OLA LAHUI HAWAII
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Covered Entity Details
Entity Name
HO OLA LAHUI HAWAII
Subdivision Name
KAUAI COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH091290
Entity Address
4491 RICE STREET, UNIT #106
LIHUE, HI 96766
Grant Number
H80CS00852
Participating Start Date
4/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
1620 CENTURY CENTER PKWY
# 109
MEMPHIS, TN 38134-8849
Pharmacy Comments
Contract Details
Approval Date
4/15/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID PETERS, CEO
(808) 240-0100 Ext: 113
Contract Pharmacy Representative
Hoola Lahui Hawaii
DAVID PETERS, CEO
(808) 240-0100 Ext: 113
Signed By Date
4/15/2018
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