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GENOA HEALTHCARE LLC
FQHCLA452 CROSSROADS HEALTH
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Covered Entity Details
Entity Name
CROSSROADS HEALTH
Subdivision Name
Crossroads Health Mentor Avenue
Type
Health Center Program Look-Alike
340B ID
FQHCLA452
Entity Address
9220 Mentor Ave
Mentor, OH 44060-6412
Grant Number
LALCS49106
Participating Start Date
10/1/2023
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
35104 EUCLID AVE STE 201
WILLOUGHBY, OH 44094
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shayna L Jackson, Chief Executive Officer
(440) 255-1700
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/12/2024
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