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SUPERIOR BIOLOGICS NY INC
HM06484 Connecticut Children's Hemophilia Treatment Center
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Covered Entity Details
Entity Name
Connecticut Children's Hemophilia Treatment Center
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM06484
Entity Address
2 Ivy Brook Road
Suite 213
Shelton, CT 06484
Grant Number
H30MC24048
Participating Start Date
4/1/2020
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
SUPERIOR BIOLOGICS NY INC
Pharmacy Address
DBA: SUPERIOR BIOLOGICS
50 BROADWAY STE OFF06
HAWTHORNE, NY 10532
Pharmacy Comments
Contract Details
Approval Date
1/17/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sarah Matney, Chief Nursing Officer, SVP Clinical Operations
(860) 545-9791
Contract Pharmacy Representative
Superior Biologics
Ellen Pinto, Pharmacist
(914) 747-1150
Signed By Date
1/15/2020
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