Contract Pharmacy Details

GENOA HEALTHCARE LLC
FQHCLA354F ASPIRE HEALTH CENTER

Covered Entity Details

Entity Name

ASPIRE HEALTH CENTER

Subdivision Name

Aspire Indiana Health - Noblesville

Type

Health Center Program Look-Alike

340B ID

FQHCLA354F

Entity Address

17840 Cumberland Rd
Noblesville, IN 46060-5409

Grant Number

LALCS31260

Participating Start Date

7/1/2018

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

17840 CUMBERLAND RD RM 300
NOBLESVILLE, IN 46060

Pharmacy Comments

Contract Details

Approval Date

10/12/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kevin Gregory Sheward, Vice President, Strategy & Business Development
(317) 587-0537

Contract Pharmacy Representative

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

Signed By Date

10/12/2023

340B Drug Pricing Program Database