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GENOA HEALTHCARE LLC
CH021887Q SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
CALLEN LORDE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021887Q
Entity Address
356 W 18th St
New York, NY 10011-4401
Grant Number
H80CS07914
Participating Start Date
4/1/2004
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
17 E GENESEE ST STE 208
AUBURN, NY 13021
Pharmacy Comments
Contract Details
Approval Date
4/5/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/5/2022
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