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HM6415 LUCILE SALTER PACKARD CHILDREN'S HOSPITA (Active)
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Main Details
Name
LUCILE SALTER PACKARD CHILDREN'S HOSPITA
Subdivision Name
HEMOPHILIA PROGRAM
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM6415
Grant Number
H30MC24045
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
4/1/1996
Participating Approval Date
1/5/2004
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Lucile Packard Children's Hospital
Rishi Seth, Vice President of Operations
(650) 724-3951
Primary Contact
Lucile Packard Children's Hospital
Mindy Chuang, Pharmacy Finance Manager
(650) 736-4075
Addresses
Street Address
725 WELCH ROAD
PALO ALTO, CA 94304
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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03/22/2012 added NPI#; CORRECTED ADD DATE
03/22/2012
CORRECTED ADD DATE
04/01/1996
June 2025
June 2025
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