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HM95817 UNIVERSITY OF CALIFORNIA, DAVIS (Active)
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Main Details
Name
UNIVERSITY OF CALIFORNIA, DAVIS
Subdivision Name
CANCER CENTER PEDIATRIC HEMATOLOGY - HTC
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM95817
Grant Number
H30MC24045
Additional Details
Current Program Status
Active
Registration Date
1/13/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/1/2017
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
2279 45TH ST
SACRAMENTO, CA 95817
Billing Address
UC-DAVIS, HTC
2000 STOCKTON BLVD
STE 202
SACRAMENTO, CA 95817
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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