340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
CH09244A CLINIC INC, THE
Print
Covered Entity Details
Entity Name
CLINIC INC, THE
Subdivision Name
T.H.E. Community Health Center at La Brea
Type
HRSA-Funded Health Center
340B ID
CH09244A
Entity Address
3721 S. La Brea Avenue
Los Angeles, CA 90016-5310
Grant Number
H80CS00755
Participating Start Date
4/1/2015
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
11721 E TELEGRAPH RD UNIT I
SANTA FE SPRINGS, CA 90670
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
Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/15/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session