340B Drug Pricing Program Database

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

309 HOLLY LN
SUITE P
MANKATO, MN 56001

Pharmacy Comments

Approval Date

7/16/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Douglas L Jaeger, CEO
(507) 344-5500

Contract Pharmacy Representative

Genoa Healthcare, LLC
Christy Barr, Sr. Vice President
(859) 360-2716

Signed By Date

7/16/2018