Contract Pharmacy Details

GENOA HEALTHCARE LLC
CHC35351-00 WELL CARE COMMUNITY HEALTH, INC.

Covered Entity Details

Entity Name

WELL CARE COMMUNITY HEALTH, INC.

Subdivision Name

Well Care Community Health, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC35351-00

Entity Address

203 E Main St
Richmond, IN 47374-4208

Grant Number

H80CS35351

Participating Start Date

10/1/2020

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

720 NORTH MARR ROAD
COLUMBUS, IN 47201-6660

Pharmacy Comments

Contract Details

Approval Date

10/3/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Eric Coulter, Chief Executive Officer
(765) 973-9369

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

10/3/2023

340B Drug Pricing Program Database