340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
FQHCLA396A SHAWNEE MENTAL HEALTH CENTER INC
Print
Covered Entity Details
Entity Name
SHAWNEE MENTAL HEALTH CENTER INC
Subdivision Name
Coal Grove Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA396A
Entity Address
225 Carlton Davidson Ln
Coal Grove, OH 45638-2924
Grant Number
LALCS32583
Participating Start Date
10/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
901 WASHINGTON STREET
ROOM 135
PORTSMOUTH, OH 45662
Pharmacy Comments
Contract Details
Approval Date
1/14/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cynthia Holstein, CEO
(740) 442-7670
Contract Pharmacy Representative
Genoa Healthcare, LLC.
Christy Barr, SVP of National Pharmacy Operations
(412) 865-7943
Signed By Date
1/14/2021
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