340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
RWIID23 ARIZONA DEPARTMENT OF HEALTH SERVICES
Print
Covered Entity Details
Entity Name
ARIZONA DEPARTMENT OF HEALTH SERVICES
Subdivision Name
Ryan White Part B/ADAP
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID23
Entity Address
150 N. 18th Ave
280
PHOENIX, AZ 85007-3233
Grant Number
X07HA00080
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
1101 NORTH CENTRAL AVE
STE 102
PHOENIX, AZ 85004
Pharmacy Comments
Contract Details
Approval Date
11/23/2021
Contract Begin Date
11/23/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Fernandez, Office Chief, Office of HIV & Hepatitis C Services
(602) 527-7923
Contract Pharmacy Representative
Genoa Healthcare
Kate Anthony, Purchasing Specialist
(412) 935-4271
Signed By Date
11/23/2021
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