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OPTION CARE
HM958171 UNIVERSITY OF CALIFORNIA, DAVIS
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Covered Entity Details
Entity Name
UNIVERSITY OF CALIFORNIA, DAVIS
Subdivision Name
CANCER CENTER CLINIC - HTC
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM958171
Entity Address
4501 X STREET
SACRAMENTO, CA 95817
Grant Number
H30MC24045
Participating Start Date
4/1/2017
Last Recertification Date
2/11/2025
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
10/10/2019
Contract Begin Date
10/10/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
10/10/2019
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