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GENOA HEALTHCARE LLC
CHC29005-03 PORTER STARKE SERVICES INC
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Covered Entity Details
Entity Name
PORTER STARKE SERVICES INC
Subdivision Name
Marram Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29005-03
Entity Address
3229 Broadway STE 160
Gary, IN 46409
Grant Number
H80CS29005
Participating Start Date
10/1/2019
Last Recertification Date
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
601 WALL STREET
VALPARAISO, IN 46383
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Aileen Wehren, VP Systems Administration
(219) 476-4567
Contract Pharmacy Representative
Genoa Healthcare, LLC.
Christy Barr, SVP of National Pharmacy Operations
(412) 865-7943
Signed By Date
10/3/2019
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