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BEEMANS REDLANDS PHARMACY
HM95816 UNIVERSITY OF CALIFORNIA DAVIS
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Covered Entity Details
Entity Name
UNIVERSITY OF CALIFORNIA DAVIS
Subdivision Name
C-Street Clinic HTC
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM95816
Entity Address
3301 C Street
SUITE 1800
SACRAMENTO, CA 95816-5219
Grant Number
H30MC24045
Participating Start Date
10/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BEEMANS REDLANDS PHARMACY
Pharmacy Address
11705 SLATE AVE STE 250
RIVERSIDE, CA 92505-7120
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
7/1/2024
Contract Comments
Contacts
Covered Entity Signing Official
TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055
Contract Pharmacy Representative
Brothers Healthcare
Angela Castagneto, Pharmacist, Manager
(951) 808-5434
Signed By Date
10/11/2021
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