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GENOA HEALTHCARE LLC
STD89014 Equality Project
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Covered Entity Details
Entity Name
Equality Project
Subdivision Name
Henderson Equality Center
Type
Sexually Transmitted Diseases
340B ID
STD89014
Entity Address
1490 W Sunset Rd
Suite 120
Henderson, NV 89014
Grant Number
5 NH25PS005179-04-00
Participating Start Date
5/26/2022
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
401 S MARYLAND PKWY RM P
LAS VEGAS, NV 89101
Pharmacy Comments
Contract Details
Approval Date
4/1/2023
Contract Begin Date
4/18/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/16/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christopher Davin, President
(855) 955-5428 Ext: 806
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/1/2023
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