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GENOA HEALTHCARE LLC
CHC29001-00 WHEELER CLINIC, INC. THE
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Covered Entity Details
Entity Name
WHEELER CLINIC, INC. THE
Subdivision Name
Bristol Family Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC29001-00
Entity Address
1 Hope Street
Bristol, CT 06010-8122
Grant Number
H80CS29001
Participating Start Date
1/1/2018
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
40 HART ST STE P
NEW BRITAIN, CT 06052
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Athena Marie Dellas, Chief Financial Officer
(860) 793-4235
Contract Pharmacy Representative
Genoa Healthcare
Iman Badawy, Director of Operations
(845) 521-1196
Signed By Date
7/15/2021
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