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GULF STATES PHARMACY UNIVERSITY OF TEXAS
HM1592 CHILDREN'S MEDICAL CENTER OF DALLAS
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Covered Entity Details
Entity Name
CHILDREN'S MEDICAL CENTER OF DALLAS
Subdivision Name
NORTH TEXAS HEMOPHILIA CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1592
Entity Address
1935 Medical District Drive
DALLAS, TX 75235
Grant Number
5H30MC24051-13-00
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GULF STATES PHARMACY UNIVERSITY OF TEXAS
Pharmacy Address
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTE
7000 FANNIN ST STE 1900
HOUSTON, TX 77030
Pharmacy Comments
Contract Details
Approval Date
7/6/2012
Contract Begin Date
7/6/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RAY DZIESINSKI, CFO
(214) 456-2960
Contract Pharmacy Representative
UTHealth GSHTC
Marisela Trujillo, 340B Director
(713) 500-8375
Signed By Date
7/2/2012
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