340B Drug Pricing Program Database

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

3100 N 14TH ST STE P
LINCOLN, NE 68521

Pharmacy Comments

Approval Date

10/2/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Brad Lee Meyer, Chief Executive Officer
(402) 470-5424

Contract Pharmacy Representative

Genoa Healthcare
Jarod Jackson, Director of Operations
(816) 341-8949

Signed By Date

10/2/2019