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TRAN-RX, LLC
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
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
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