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GENOA HEALTHCARE LLC
RRC300019-00 CHESHIRE MEDICAL CENTER
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Covered Entity Details
Entity Name
CHESHIRE MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC300019-00
Entity Address
580 COURT STREET
KEENE, NH 03431
Medicare Provider Number
300019
Participating Start Date
7/1/2023
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
40 AVON ST RM 188B
KEENE, NH 03431
Pharmacy Comments
Contract Details
Approval Date
5/2/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathryn Willbarger, COO
(603) 354-5488
Contract Pharmacy Representative
Optum Pharmacy
Nancy McCutcheon, Sr. VP of Strategic Sales
(651) 983-0677
Signed By Date
4/14/2023
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