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FAST ACCESS SPECIALTY THERAPEUTICS
HM995081 Alaska Bleeding Disorder Clinics
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Covered Entity Details
Entity Name
Alaska Bleeding Disorder Clinics
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM995081
Entity Address
1200 Airport Heights Dr.
101
Anchorage, AK 99508
Grant Number
H30MC24049
Participating Start Date
1/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
FAST ACCESS SPECIALTY THERAPEUTICS
Pharmacy Address
DBA INFUCARE RX OF LA
2400 VETERANS MEMORIAL BLVD STE 480
KENNER, LA 70062-8728
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Palmatier, Board President
(907) 929-2568
Contract Pharmacy Representative
Infucare
Mark Milburn, 340B Director
(877) 828-3940
Signed By Date
4/11/2025
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