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GENOA HEALTHCARE LLC
CHC26567-00 MERIDIAN SERVICES CORP
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Covered Entity Details
Entity Name
MERIDIAN SERVICES CORP
Subdivision Name
Meridian Health Services
Type
HRSA-Funded Health Center
340B ID
CHC26567-00
Entity Address
240 N Tillotson Ave
Muncie, IN 47304-3988
Grant Number
H80CS26567
Participating Start Date
4/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
831 DILLON DR STE 102
RICHMOND, IN 47374
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Riggs, Chief Financial Officer
(765) 254-5189
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/15/2021
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