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GENOA HEALTHCARE LLC
CHC26606-05 HORIZON HEALTH & WELLNESS INC
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Covered Entity Details
Entity Name
HORIZON HEALTH & WELLNESS INC
Subdivision Name
Casa Grande
Type
HRSA-Funded Health Center
340B ID
CHC26606-05
Entity Address
115 W 2nd St
Casa Grande, AZ 85122-4406
Grant Number
H80CS26606
Participating Start Date
10/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
10217 N METRO PKWY W RM A113
PHOENIX, AZ 85051
Pharmacy Comments
Contract Details
Approval Date
7/24/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ben Baxter, CFO
(480) 474-5619
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/14/2023
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