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GENOA HEALTHCARE LLC
CH02151BS Hudson River Healthcare, Inc.
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Covered Entity Details
Entity Name
Hudson River Healthcare, Inc.
Subdivision Name
Long Island FQHC - BEST Health Center
Type
HRSA-Funded Health Center
340B ID
CH02151BS
Entity Address
2150 Hempstead Tpke
Elmont, NY 11003-1551
Grant Number
H80CS00313
Participating Start Date
4/1/2018
Last Recertification Date
2/26/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
380 NASSAU RD STE P
ROOSEVELT, NY 11575
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/15/2021
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