Contract Pharmacy Details

GENOA HEALTHCARE LLC
CHC08773-04 Unity Care Northwest

Covered Entity Details

Entity Name

Unity Care Northwest

Subdivision Name

UCNW 1616 Cornwall Avenue

Type

HRSA-Funded Health Center

340B ID

CHC08773-04

Entity Address

1616 Cornwall Ave
Bellingham, WA 98225

Grant Number

H80CS08773

Participating Start Date

7/1/2012

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

3645 E MCLEOD RD STE P-1
BELLINGHAM, WA 98226

Pharmacy Comments

Contract Details

Approval Date

7/15/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lisa Jayne Nelson, Chief Pharmacy Officer
(360) 788-2682

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

7/15/2022

340B Drug Pricing Program Database