340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
CHC24101-00 ADAPT
Print
Covered Entity Details
Entity Name
ADAPT
Subdivision Name
FQHC- Main Winston
Type
HRSA-Funded Health Center
340B ID
CHC24101-00
Entity Address
671 SW Main St
Winston, OR 97496-9660
Grant Number
H80CS24101
Participating Start Date
4/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
621 W MADRONE ST STE P1
ROSEBURG, OR 97470
Pharmacy Comments
Contract Details
Approval Date
7/10/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory Brigham, CEO
(541) 672-2691 Ext: 208
Contract Pharmacy Representative
Genoa Healthcare, LLC.
Christy Barr, SVP of National Pharmacy Operations
(412) 865-7943
Signed By Date
7/10/2020
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