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STONE SOUP ENTERPRISES, INC.
HM05401 UNIVERSITY OF VERMONT MEDICAL CENTER, INC
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Covered Entity Details
Entity Name
UNIVERSITY OF VERMONT MEDICAL CENTER, INC
Subdivision Name
DBA VERMONT REGIONAL HEMOPHILIA TREATMENT CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM05401
Entity Address
111 COLCHESTER AVENUE
MP2 MCHV CAMPUS
BURLINGTON, VT 05401
Grant Number
H30MC24048
Participating Start Date
10/1/2010
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
1/26/2011
Contract Begin Date
2/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2015
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/25/2011
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