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HM98104 Bloodworks (Terminated)
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Main Details
Name
Bloodworks
Subdivision Name
Outreach Service
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM98104
Grant Number
H30MC24049
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/27/2017
Last Recertification Date
1/29/2020
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Bloodworks
Robert Gleason, Chief Financial Officer
(206) 689-6680
Primary Contact
Bloodworks
Mary C Spisak, Contract Specialist
(206) 689-6374
Addresses
Street Address
921 Terry Avenue
Seattle, WA 98104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
April 2025
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