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GENOA HEALTHCARE LLC
CH05711K THIRD STREET COMMUNITY CLINIC
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Covered Entity Details
Entity Name
THIRD STREET COMMUNITY CLINIC
Subdivision Name
Malabar Care Connect
Type
HRSA-Funded Health Center
340B ID
CH05711K
Entity Address
205 W. Cook Road UNIT Suite A
Mansfield, OH 44907
Grant Number
H80CS00581
Participating Start Date
4/1/2020
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
741 SCHOLL ROAD, STE P1
MANSFIELD, OH 44907
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peggy Anderson, CEO
(419) 526-7880
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/11/2024
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