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GENOA HEALTHCARE LLC
CHC26632-00 Whitman-Walker Clinic, Inc.
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Covered Entity Details
Entity Name
Whitman-Walker Clinic, Inc.
Subdivision Name
Whitman-Walker Health
Type
HRSA-Funded Health Center
340B ID
CHC26632-00
Entity Address
1525 14th Street Street Northwest
Washington, DC 20005
Grant Number
H80CS26632
Participating Start Date
4/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
801 PENNSYLVANIA AVENUE SE
SUITE 120
WASHINGTON, DC 20003-2167
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Naseema Shafi, Chief Executive Officer
(202) 797-3572
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/15/2021
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