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GENOA HEALTHCARE LLC
CHC26625-01 SANTA BARBARA NEIGHBORHOOD CLINICS
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Covered Entity Details
Entity Name
SANTA BARBARA NEIGHBORHOOD CLINICS
Subdivision Name
Goleta Neighborhood Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26625-01
Entity Address
164 Kinman Ave.
Ste A
Goleta, CA 93117-3481
Grant Number
H80CS26625
Participating Start Date
10/1/2016
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
4444 CALLE REAL STE P1
SANTA BARBARA, CA 93110
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
Mahdi Ashrafian, Chief Executive Officer
(805) 324-8319
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/12/2024
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