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STONE SOUP ENTERPRISES, INC.
HM63110 Washington University Center for Treatment of Bleeding & Blood Clotting Disorders
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Covered Entity Details
Entity Name
Washington University Center for Treatment of Bleeding & Blood Clotting Disorders
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM63110
Entity Address
660 South Euclid Avenue
MSC-8125-22-1101
St. Louis, MO 63110-1010
Grant Number
Participating Start Date
10/1/2012
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
STONE SOUP ENTERPRISES, INC.
Pharmacy Address
18009 SKYPARK CIRCLE, STE G
IRVINE, CA 92614
Pharmacy Comments
Contract Details
Approval Date
11/16/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2015
Ownership change
Contacts
Covered Entity Signing Official
JAMES P. CRANE, ASSOCIATE VICE CHANCELLOR FOR CLINICAL & CEO
(314) 362-6249
Contract Pharmacy Representative
MICHAEL TRONT, PRESIDENT
(949) 476-6361
Signed By Date
10/10/2012
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