Contract Pharmacy Details

TRAN-RX, LLC
HM11968 UNIVERSITY OF CALIFORNIA, DAVIS

Covered Entity Details

Entity Name

UNIVERSITY OF CALIFORNIA, DAVIS

Subdivision Name

HEMOPHILIA TREATMENT CENTER

Type

Comprehensive Hemophilia Treatment Center

340B ID

HM11968

Entity Address

2000 STOCKTON BLVD, SUITE 202
SACRAMENTO, CA 95817

Grant Number

H30MC24045

Participating Start Date

4/1/2005

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

TRAN-RX, LLC

Pharmacy Address

DBA: ALLCARE PHARMACY #3
1106 E. 17TH ST STE B
SANTA ANA, CA 92701

Pharmacy Comments

Contract Details

Approval Date

1/14/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/2/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055

Contract Pharmacy Representative

AllCare Pharmacy
Mary Pham, Pharm D
(949) 939-2725

Signed By Date

1/14/2020

340B Drug Pricing Program Database