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OPTION CARE ENTERPRISES, INC.
HM95817 UNIVERSITY OF CALIFORNIA, DAVIS
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Covered Entity Details
Entity Name
UNIVERSITY OF CALIFORNIA, DAVIS
Subdivision Name
CANCER CENTER PEDIATRIC HEMATOLOGY - HTC
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM95817
Entity Address
2279 45TH ST
SACRAMENTO, CA 95817
Grant Number
H30MC24045
Participating Start Date
4/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
OPTION CARE
132 MISSION RANCH BLVD.
CHICO, CA 95926-2186
Pharmacy Comments
Contract Details
Approval Date
2/1/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2020
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Option Care Enterprises, Inc.
JAMIE SHUTE, COORDINATOR
(530) 839-1337 Ext: 229
Signed By Date
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