Contract Pharmacy Details

GENOA HEALTHCARE LLC
CH05006Q COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS

Covered Entity Details

Entity Name

COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS

Subdivision Name

Community Health Partnership of Illinois

Type

HRSA-Funded Health Center

340B ID

CH05006Q

Entity Address

62 N. Ayer St., Suite A & B
Harvard, IL 60033-2807

Grant Number

H80CS00748

Participating Start Date

4/6/2020

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

5342 W ELM STREET, STE P
MCHENRY, IL 60050-4029

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

Eleace Erica Sawyers, Chief Executive Officer
(786) 299-1724

Contract Pharmacy Representative

Genoa Healthcare
Lauren Carnahan, Pharmacy Manager
(815) 344-3263

Signed By Date

4/15/2021

340B Drug Pricing Program Database