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GENOA HEALTHCARE LLC
FQHCLA423 Bowen Health, INC.
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Covered Entity Details
Entity Name
Bowen Health, INC.
Subdivision Name
Bowen Health Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA423
Entity Address
850 N Harrison St
Warsaw, IN 46580-3163
Grant Number
LALCS40296
Participating Start Date
7/1/2021
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
2860 NORTHPARK AVE
ROOM 115
HUNTINGTON, IN 46750
Pharmacy Comments
Contract Details
Approval Date
7/17/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Carey, Senior VP, Healthcare Quality
(574) 526-1385
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/17/2022
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