340B Drug Pricing Program Database

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GENOA HEALTHCARE LLC
STD85004 Prisma Community Care

Covered Entity Details

Sexually Transmitted Diseases
STD85004
1101 N Central Ave
Suite 200
Phoenix, AZ 85004
5 NU62PS924676-03-00
1/1/2019
5/8/2024


Pharmacy Details

1642 S PRIEST DR
BLDG 6, STE 101
TEMPE, AZ 85281

Contract Details

10/14/2021
1/1/2022


Contacts


Jessyca Leach, Executive Director
(602) 595-8115



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
10/14/2021