340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
TB97124 Washington County
Print
Covered Entity Details
Entity Name
Washington County
Subdivision Name
Public Health Division
Type
Tuberculosis
340B ID
TB97124
Entity Address
IPAC 155 N 1st Avenue MS68 Suite 189
MS 68
Hillsboro, OR 97124
Grant Number
NU52PS910280
Participating Start Date
10/1/2017
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
10700 SW BEAVERTON HILLSDALE HWY
BLDG 1, RM 122
BEAVERTON, OR 97005
Pharmacy Comments
Contract Details
Approval Date
10/1/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gladys J Reyes, Public Health Office Supervisor
(503) 846-8340
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
10/1/2024
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