340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

GENOA HEALTHCARE LLC
CH092880 Lifelong Medical Care

Covered Entity Details

LIFELONG MEDICAL CARE
HRSA-Funded Health Center
CH092880
2344 6th St
Berkeley, CA 94710-2412
H80CS00808
9/9/2005
2/20/2024


Pharmacy Details

245 11TH ST STE P1
SAN FRANCISCO, CA 94103

Contract Details

4/15/2024
7/1/2024


Contacts


David Vliet, CEO
(510) 981-4123



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
4/15/2024