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OPTION CARE
HM92668 CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS (CIBD)
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Covered Entity Details
Entity Name
CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS (CIBD)
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM92668
Entity Address
701 S. Parker Street
Suite 1000
Orange, CA 92868
Grant Number
H30MC24045
Participating Start Date
7/1/1997
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
OPTION CARE
Pharmacy Address
OPTION CARE ENTERPRISES, INC.
132 MISSION RANCH BLVD.
CHICO, CA 95926-2186
Pharmacy Comments
Contract Details
Approval Date
10/5/2019
Contract Begin Date
10/5/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/12/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
DIANE NUGENT, DIRECTOR, HEMOPHILIA TREATMENT CENTER
(714) 509-8744
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
10/5/2019
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