340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
CH067230 HIDALGO MEDICAL SERVICES, INC
Print
Covered Entity Details
Entity Name
HIDALGO MEDICAL SERVICES, INC
Subdivision Name
HIDALGO MEDICAL SERVICES
Type
HRSA-Funded Health Center
340B ID
CH067230
Entity Address
530 De Moss St
Lordsburg, NM 88045-2618
Grant Number
H80CS00744
Participating Start Date
10/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
998 LIBRARY CT. ROOM 4
OREGON CITY, OR 97045
Pharmacy Comments
Contract Details
Approval Date
2/8/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/14/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
Daniel Otero, CEO
(575) 590-7090
Contract Pharmacy Representative
Genoa, a QoL Healthcare Company
Larry Hart, RPH
(412) 613-4434
Signed By Date
2/8/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session