340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
STD61761 Central Illinois Friends
Print
Covered Entity Details
Entity Name
Central Illinois Friends
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD61761
Entity Address
900 Franklin Ave
Normal, IL 61761
Grant Number
NU62PS924566
Participating Start Date
4/1/2022
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
228 NE JEFFERSON AVE STE 207
PEORIA, IL 61603
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deric Tucker Kimler, Executive Director
(309) 671-2144
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session