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CITY OF HOPE ORANGE COUNTY
CAN050146-00 CITY OF HOPE NATIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
CITY OF HOPE NATIONAL MEDICAL CENTER
Subdivision Name
Type
Free Standing Cancer Hospital
340B ID
CAN050146-00
Entity Address
1500 E. DUARTE ROAD
DUARTE, CA 91010
Medicare Provider Number
050146
Participating Start Date
9/1/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
CITY OF HOPE ORANGE COUNTY
Pharmacy Address
1000 FIVEPOINT RM 1-006
IRVINE, CA 92618
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
10/24/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wafa Samara, CPO
(626) 218-4936
Contract Pharmacy Representative
City of Hope
Rachel Mashburn, Director of Pharmacy
(949) 671-4424
Signed By Date
10/17/2022
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