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RED CHIP OF NEVADA
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
RED CHIP OF NEVADA
Pharmacy Address
18009 SKY PARK CIRCLE SUITE F
IRVINE, CA 92614-9261
Pharmacy Comments
Contract Details
Approval Date
7/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DIANE NUGENT, DIRECTOR, HEMOPHILIA TREATMENT CENTER
(714) 509-8744
Contract Pharmacy Representative
Red Chip of Nevada
Chad Geary, Director of Operations
(949) 476-6361
Signed By Date
7/13/2020
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