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HM40202 University of Louisville Physicians, Inc (Active)
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Main Details
Name
University of Louisville Physicians, Inc
Subdivision Name
Comprehensive Hemophilia Treatment Center
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM40202
Grant Number
H30MC24046
Additional Details
Current Program Status
Active
Registration Date
1/10/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/25/2013
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
University of Louisville Physicians
Vivek Sharma, Hematologist
(502) 562-4246
Primary Contact
University of Louisville Physicians
Tracey Gaslin, Hemophilia NP
(502) 210-4301
Addresses
Street Address
2401 Terra Crossing Blvd
Suite 202
Louisville, KY 40245
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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