340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
FQHCLA419A Centerstone Health Services, Inc.
Print
Covered Entity Details
Entity Name
Centerstone Health Services, Inc.
Subdivision Name
Centerstone Health Services
Type
Health Center Program Look-Alike
340B ID
FQHCLA419A
Entity Address
645 S Rogers St
Bloomington, IN 47403-2353
Grant Number
LALCS40181
Participating Start Date
4/1/2021
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
645 SOUTH ROGERS STREET
BLOOMINGTON, IN 47403-2353
Pharmacy Comments
Contract Details
Approval Date
4/8/2021
Contract Begin Date
4/15/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Siegmann, Executive Director
(812) 344-4935
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/8/2021
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