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GENOA HEALTHCARE LLC
CH031060C Neighborhood Health
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Covered Entity Details
Entity Name
Neighborhood Health
Subdivision Name
Arlington County Behavioral Health Services Division
Type
HRSA-Funded Health Center
340B ID
CH031060C
Entity Address
2120 WASHINGTON BOULEVARD
3RD FLOOR
ARLINGTON, VA 22204
Grant Number
H80CS02446
Participating Start Date
7/1/2011
Last Recertification Date
2/16/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
2120 WASHINGTON BLVD RM 115
ARLINGTON, VA 22204
Pharmacy Comments
Contract Details
Approval Date
10/18/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Basim Khan, Executive Director
(703) 535-5568 Ext: 4104
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/18/2022
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