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GENOA HEALTHCARE LLC
CHC29000-05 UNITED COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
UNITED COMMUNITY SERVICES INC
Subdivision Name
Montville High School - School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29000-05
Entity Address
800 Old Colchester Rd
Oakdale, CT 06370-2608
Grant Number
H80CS29000
Participating Start Date
1/1/2016
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
226 E MAIN ST RM P
GRISWOLD, CT 06351
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Granger, President/CEO
(860) 822-4143
Contract Pharmacy Representative
United Community & Family Services
Sharon Laliberte, Compliance Officer
(860) 822-4148
Signed By Date
1/5/2023
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