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IHC HEALTH SERVICES, INC.
HM84112 IHC HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
IHC HEALTH SERVICES, INC.
Subdivision Name
Utah Center for Bleeding and Clotting Disorders
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM84112
Entity Address
Sugar House Health Center, U of U Health
1280 East Stringham Avenue
Salt Lake City, UT 84106
Grant Number
H30MC24049
Participating Start Date
7/1/2018
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
IHC HEALTH SERVICES, INC.
Pharmacy Address
DBA: INTERMOUNTAIN HOME DELIVERY PHARMAC
DBA: INTERMOUNTAIN SPECIALTY PHARMACY
7268 S BINGHAM JUNCTION BLVD STE B1
MIDVALE, UT 84047
Pharmacy Comments
Contract Details
Approval Date
8/15/2022
Contract Begin Date
8/16/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sidney Norton, Finance AVP - Pediatrics
(801) 662-6277
Contract Pharmacy Representative
Intermountain Healthcare
Carrie Dunford, Chief Pharmacy Officer
(801) 284-1004
Signed By Date
8/15/2022
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