340B Drug Pricing Program Database

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GENOA HEALTHCARE LLC
RW4248350 CAN Community Health, Inc

Covered Entity Details

Ybor
Ryan White Part D
RW4248350
2105 N Nebraska Ave
Tampa, FL 33602
H12HA24835
10/1/2020
2/25/2022
10/1/2022


Pharmacy Details

6075 BATHEY LANE, SUITE D-5
NAPLES, FL 34116

Contract Details

4/15/2021
7/1/2021

10/1/2022
Covered Entity Terminated


Contacts


Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
4/15/2021