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GENOA HEALTHCARE LLC
CH044523K CABARRUS COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CABARRUS COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
CRCHC Mobile Unit
Type
HRSA-Funded Health Center
340B ID
CH044523K
Entity Address
202D Mcgill Ave NW
Concord, NC 28025-4615
Grant Number
H80CS06652
Participating Start Date
4/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
5700 EXECUTIVE CENTER DR STE 216
CHARLOTTE, NC 28212
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
7/15/2024
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