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CRESCENT HEALTHCARE, INC.
HM11968 UNIVERSITY OF CALIFORNIA, DAVIS
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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
CRESCENT HEALTHCARE, INC.
Pharmacy Address
25901 INDUSTRIAL BLVD BLDG E
HAYWARD, CA 94545-2995
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
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
7/13/2021
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