340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
FQHCLA458A INTERCOMMUNITY INC
Print
Covered Entity Details
Entity Name
INTERCOMMUNITY INC
Subdivision Name
InterCommunity SBHC Illing Middle School
Type
Health Center Program Look-Alike
340B ID
FQHCLA458A
Entity Address
227 Middle Tpke E BLDG
Manchester, CT 06040-4261
Grant Number
LALCS00170
Participating Start Date
4/1/2024
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
287 MAIN STREET, SUITE A-2
EAST HARTFORD, CT 06118-1885
Pharmacy Comments
Contract Details
Approval Date
7/1/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chad McDonald, Chief Medical Officer
(860) 569-5900
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
7/1/2024
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