340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
CHC28956-06 Valle Del Sol, Inc.
Print
Covered Entity Details
Entity Name
Valle Del Sol, Inc.
Subdivision Name
Valle del Sol_4117
Type
HRSA-Funded Health Center
340B ID
CHC28956-06
Entity Address
4117 N 17th St
Phoenix, AZ 85016-5921
Grant Number
H80CS28956
Participating Start Date
1/1/2022
Last Recertification Date
2/7/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
3807 N 7TH ST STE P
PHOENIX, AZ 85014
Pharmacy Comments
Contract Details
Approval Date
11/1/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Carmen Heredia, Chief Executive Officer
(602) 258-6797 Ext: 1320
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/18/2021
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