Details | Last Recertification Date | Update | Recertification | 2/9/2024 7:01:06 AM | 2/12/2025 3:31:55 PM | 2/12/2025 3:31 PM |
Addresses | Shipping Address | Insert | Change Request | | Tulane University Health Sciences Pharmacy Lakeside
4720 S. I-10 Service Road W. Suite 207
Metairie, LA 70001-1240 | 12/20/2024 8:29 AM |
Contacts | Primary Contact | Update | Recertification | BORRILLO, JENNIFER
Executive Director/340B Pharmacy Program Director
Tulane University, Louisiana Center for Bleeding & Clotting Disorders
5049887719 | Kavanagh, Erin
Executive Director
The Administrators of the Tulane Educational Fund dba the LA Center for Bleeding & Clotting Disorder
5049887719 | 2/9/2024 7:01 AM |
Details | Last Recertification Date | Update | Recertification | 2/2/2023 10:17:03 AM | 2/9/2024 7:01:06 AM | 2/9/2024 7:01 AM |
Contacts | Primary Contact | Update | Profile Change Request | BORRILLO, JENNIFER
Administrative Director/340B Pharmacy Program Director
Tulane University, Louisiana Center for Bleeding & Clotting Disorders
5049887719 | BORRILLO, JENNIFER
Executive Director/340B Pharmacy Program Director
Tulane University, Louisiana Center for Bleeding & Clotting Disorders
5049887719 | 10/13/2023 2:31 PM |
Details | Last Recertification Date | Update | Recertification | 2/4/2022 11:49:49 AM | 2/2/2023 10:17:03 AM | 2/2/2023 10:17 AM |
Addresses | Shipping Address | Update | Change Request | Tulane University Health Sciences Pharmacy
131 S Robertson
Murphy Building 10th Floor
Suite 1075
New Orleans, LA 70112 | Tulane University Health Sciences Pharmacy
131 S Robertson Street
Murphy Building 10th Floor
Suite 1075
New Orleans, LA 70112 | 10/18/2022 11:23 AM |
Details | Last Recertification Date | Update | Recertification | 2/3/2021 4:47:23 PM | 2/4/2022 11:49:49 AM | 2/4/2022 11:49 AM |
Details | Last Recertification Date | Update | Recertification | 2/4/2020 10:15:30 AM | 2/3/2021 4:47:23 PM | 2/3/2021 4:47 PM |
Addresses | Shipping Address | Delete | Change Request | Louisiana Center for Bleeding & Clotting Disorders - Tulane University
131 S Robertson
Murphy Building 10th Floor, Suite 1075
New Orleans, LA 70112 | | 10/7/2020 9:19 AM |
Addresses | Shipping Address | Insert | Change Request | | Tulane University Health Sciences Pharmacy
131 S Robertson
Murphy Building 10th Floor
Suite 1075
New Orleans, LA 70112 | 10/7/2020 9:19 AM |
Addresses | Main Address | Update | Change Request |
Tulane University, Louisiana Center for Bleeding and Clotting Disorders
131 S Robertson Street, 10th Floor Murphy Building
New Orleans, LA 70112-2632 |
Tulane University School of Medicine, Louisiana Center for Bleeding and Clotting Disorders
131 S Robertson Street, 10th Floor Murphy Building
New Orleans, LA 70112-2632 | 10/7/2020 9:19 AM |
Details | Entity Name | Update | Change Request | TULANE UNIVERSITY HEALTH SCIENCES CENTER | THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND | 10/7/2020 9:19 AM |
Details | Entity Subname | Update | Change Request | DBA LOUISIANA COMPREHENSIVE HEMOPHILIA CARE CENTER | DBA THE LOUISIANA CENTER FOR BLEEDING & CLOTTING DISORDERS | 10/7/2020 9:19 AM |
Addresses | Billing Address | Insert | Recertification | | The Louisiana Center for Bleeding and Clotting Disorders
1430 Tulane Avenue
#8031
New Orleans, LA 70112 | 2/4/2020 10:15 AM |
Addresses | Main Address | Update | Recertification |
1430 Tulane Avenue
#8031
New Orleans, LA 70112-2632 |
Tulane University, Louisiana Center for Bleeding and Clotting Disorders
131 S Robertson Street, 10th Floor Murphy Building
New Orleans, LA 70112-2632 | 2/4/2020 10:15 AM |
Addresses | Shipping Address | Delete | Recertification | Gulf States Pharmacy
6655 Travis
Suite 340
Houston, TX 77030 | | 2/4/2020 10:15 AM |
Addresses | Shipping Address | Delete | Recertification | Red Chip of Nevada
18009 Sky Park Circle
Suite G
Irvine, CA 92614 | | 2/4/2020 10:15 AM |
Addresses | Shipping Address | Delete | Recertification | Red Chip of Nevada
18009 Sky Park Circle
Suite F
Irvine, CA 92614 | | 2/4/2020 10:15 AM |
Details | Last Recertification Date | Update | Recertification | 2/5/2019 4:19:42 PM | 2/4/2020 10:15:30 AM | 2/4/2020 10:15 AM |
Contacts | Primary Contact | Update | Profile Change Request | BORRILLO, JENNIFER
Administrative Director
Tulane University, Louisiana Center for Bleeding & Clotting Disorders
5049887719 | BORRILLO, JENNIFER
Administrative Director/340B Pharmacy Program Director
Tulane University, Louisiana Center for Bleeding & Clotting Disorders
5049887719 | 1/30/2020 5:19 PM |
Details | Last Recertification Date | Update | Recertification | 2/14/2018 10:44:16 AM | 2/5/2019 4:19:42 PM | 2/5/2019 4:19 PM |
Details | Last Recertification Date | Update | Recertification | 2/6/2017 12:00:00 AM | 2/14/2018 10:44:16 AM | 2/14/2018 10:44 AM |
Contacts | Authorizing Official | Update | | KOZAR, KATHLEEN M.
Director, Sponsored projects Administration
5049885207 | KOZAR, KATHLEEN M.
Director, Sponsored projects Administration
Tulane University
5049885207 | 1/24/2018 3:04 PM |
Contacts | Primary Contact | Update | | BORRILLO, JENNIFER
Administrative Director
5049887719 | BORRILLO, JENNIFER
Administrative Director
Tulane University, Louisiana Center for Bleeding & Clotting Disorders
5049887719 | 1/10/2018 2:24 PM |
Addresses | Main Address | Insert | | |
1430 Tulane Avenue
#8031
New Orleans, LA 70112-2632 | 2/6/2017 12:47 PM |
Addresses | Shipping Address | Insert | | | Louisiana Center for Bleeding & Clotting Disorders - Tulane University
131 S Robertson
Murphy Building 10th Floor, Suite 1075
New Orleans, LA 70112 | 2/6/2017 12:47 PM |
Addresses | Shipping Address | Insert | | | Gulf States Pharmacy
6655 Travis
Suite 340
Houston, TX 77030 | 2/6/2017 12:47 PM |
Addresses | Shipping Address | Insert | | | Red Chip of Nevada
18009 Sky Park Circle
Suite G
Irvine, CA 92614 | 2/6/2017 12:47 PM |
Addresses | Shipping Address | Insert | | | Red Chip of Nevada
18009 Sky Park Circle
Suite F
Irvine, CA 92614 | 2/6/2017 12:47 PM |
Contacts | Primary Contact | Update | | WULFF, KAREN
NURSE COORDINATOR
5049885433 | BORRILLO, JENNIFER
Administrative Director
5049887719 | 2/6/2017 12:47 PM |
Contacts | Authorizing Official | Update | | LEISSINGER, CINDY A.
DIRECTOR
5049885433 | KOZAR, KATHLEEN M.
Director, Sponsored projects Administration
5049885207 | 2/6/2017 12:47 PM |
Details | Last Recertification Date | Update | | 2/15/2016 12:00:00 AM | 2/6/2017 12:00:00 AM | 2/6/2017 12:47 PM |
Details | Last Recertification Date | Update | | 2/10/2015 12:00:00 AM | 2/15/2016 12:00:00 AM | 2/15/2016 4:39 PM |
Details | Last Recertification Date | Update | | 2/20/2014 12:00:00 AM | 2/10/2015 12:00:00 AM | 2/10/2015 9:34 AM |
Details | Last Recertification Date | Update | | 4/1/2013 12:00:00 AM | 2/20/2014 12:00:00 AM | 2/20/2014 12:13 PM |
Details | Grant Number | Update | | H30MC00029 | H30MC24051 | 2/12/2014 8:52 AM |
Details | Last Recertification Date | Update | | | 4/1/2013 12:00:00 AM | 2/5/2013 8:43 AM |
Details | Grant Number | Update | | | H30MC00029 | 12/12/2012 2:55 PM |
Contacts | Primary Contact | Insert | | | WULFF, KAREN
NURSE COORDINATOR
5049885433 | 12/12/2006 12:36 PM |
Contacts | Authorizing Official | Insert | | | LEISSINGER, CINDY A.
DIRECTOR
5049885433 | 12/12/2006 12:36 PM |
Details | Grant Number | Update | | H30MC00029 | | 12/12/2006 12:36 PM |
Details | Last Recertification Date | Insert | | | | 12/12/2006 12:35 PM |
Details | Grant Number | Insert | | | H30MC00029 | 12/12/2006 12:35 PM |
Details | 340B ID | Insert | | | HM13099 | 12/12/2006 12:35 PM |
Details | Is Authorizing Official EHB Data | Insert | | | | 12/12/2006 12:35 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 12/12/2006 12:35 PM |
Details | Medicare Provider Number | Insert | | | | 12/12/2006 12:35 PM |
Details | Entity Name | Insert | | | TULANE UNIVERSITY HEALTH SCIENCES CENTER | 12/12/2006 12:35 PM |
Details | Program Code | Insert | | | HM | 12/12/2006 12:35 PM |
Details | Entity Subname | Insert | | | DBA LOUISIANA COMPREHENSIVE HEMOPHILIA CARE CENTER | 12/12/2006 12:35 PM |
Dates | Participating Approval Date | Insert | | | 12/12/2006 12:00:00 AM | 12/12/2006 12:35 PM |
Details | State | Insert | | | Active | 12/12/2006 12:35 PM |
Dates | Registration Date | Insert | | | 12/12/2006 12:00:00 AM | 12/12/2006 12:35 PM |
Dates | Signed By Date | Insert | | | 8/25/2006 12:00:00 AM | 12/12/2006 12:35 PM |
Dates | Start Date | Insert | | | 1/1/2007 12:00:00 AM | 12/12/2006 12:35 PM |
Terminations | Termination Comments | Insert | | | | 12/12/2006 12:35 PM |
Terminations | Termination Date | Insert | | | | 12/12/2006 12:35 PM |
Terminations | Termination Effective Date | Insert | | | | 12/12/2006 12:35 PM |
Terminations | Termination Reason | Insert | | | | 12/12/2006 12:35 PM |