340B Drug Pricing Program Database

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GENOA HEALTHCARE LLC
CHC26568-00 SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER

Covered Entity Details

Regional Health Clinic, Homeless Site
HRSA-Funded Health Center
CHC26568-00
527 State St
Hammond, IN 46320-1533
H80CS26568
4/1/2014
2/7/2024
4/1/2025


Pharmacy Details

8555 TAFT STREET
MERRILLVILLE, IN 46410

Contract Details

4/14/2020
5/5/2020

4/1/2025
Covered Entity Terminated


Contacts


Amy Lopez, Executive Director
(219) 671-6047



Genoa Healthcare
Frank Gordon, Region 25 Director of Operations
(260) 415-7746 Ext: 2604157746
4/14/2020