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DARTMOUTH-HITCHCOCK PHARMACY
HM2673 DARTMOUTH-HITCHCOCK HEMOPHILIA CENTER
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Covered Entity Details
Entity Name
DARTMOUTH-HITCHCOCK HEMOPHILIA CENTER
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM2673
Entity Address
1 MEDICAL CENTER DR.
LEBANON, NH 03756
Grant Number
H30MC24048
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
DARTMOUTH-HITCHCOCK PHARMACY
Pharmacy Address
1000 QUALITY DR
HOOKSETT, NH 03106
Pharmacy Comments
Contract Details
Approval Date
1/28/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robin Kilfeather-Mackey, Chief Financial Officer
(603) 650-4466
Contract Pharmacy Representative
Dartmouth Hitchcock
Daniel P. Jantzen, Chief Financial Officer
(603) 650-8136
Signed By Date
1/14/2013
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