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HM11968 UNIVERSITY OF CALIFORNIA, DAVIS (Active)
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Main Details
Name
UNIVERSITY OF CALIFORNIA, DAVIS
Subdivision Name
HEMOPHILIA TREATMENT CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM11968
Grant Number
H30MC24045
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/8/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
UC Davis Health
Jennifer L Doll, Chief Financial Officer
(916) 708-2708
Primary Contact
University of California, Davis
DAMIA DILLARD, PROGRAM MANAGER
(916) 734-7398
Addresses
Street Address
2000 STOCKTON BLVD, SUITE 202
SACRAMENTO, CA 95817
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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10/31/06 UPDATED ADDR (WAS 2315 STOCKTON BLVD); REINSTATE WAS PARTICIPATING 12/01/92 - 12/31/98 9/19/07 REMOVED MEDICAID # PHOE53800
01/13/2010
10/31/06 UPDATED ADDR (WAS 2315 STOCKTON BLVD); REINSTATE WAS PARTICIPATING 12/01/92 - 12/31/98 9/19/07 REMOVED MEDICAID # PHOE53800
04/01/2005
April 2025
April 2025
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