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EVERSANA LIFE SCIENCE SERVICES, LLC
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
EVERSANA LIFE SCIENCE SERVICES, LLC
Pharmacy Address
17877 CHESTERFIELD AIRPORT ROAD
CHESTERFIELD, MO 63005-1211
Pharmacy Comments
Contract Details
Approval Date
4/21/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHRIS HOLMES, HTC PROGRAM DIRECTOR
(802) 847-8400
Contract Pharmacy Representative
Centric Health Resources
Chad Forinash, VP , Patient Dispensing
(314) 852-8687
Signed By Date
4/21/2014
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