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STONE SOUP ENTERPRISES, INC.
HM1596 THE CHILDREN'S MERCY HOSPITAL
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Covered Entity Details
Entity Name
THE CHILDREN'S MERCY HOSPITAL
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1596
Entity Address
2401 GILLHAM ROAD
KANSAS CITY, MO 64108
Grant Number
H30MC24051
Participating Start Date
7/1/2007
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
STONE SOUP ENTERPRISES, INC.
Pharmacy Address
18009 SKYPARK CIRCLE, STE G
IRVINE, CA 92614
Pharmacy Comments
Contract Details
Approval Date
4/24/2008
Contract Begin Date
4/24/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2015
Ownership change
Contacts
Covered Entity Signing Official
Karen Cox, Executive Vice President/ COO
(816) 234-3633
Contract Pharmacy Representative
MICHAEL TRONT, PRESIDENT
(949) 476-6361
Signed By Date
4/22/2008
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