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GENOA HEALTHCARE LLC
CH056440 OHIO NORTH EAST HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
OHIO NORTH EAST HEALTH SYSTEMS INC
Subdivision Name
Youngstown Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH056440
Entity Address
726 Wick Ave
Youngstown, OH 44505-2827
Grant Number
H80CS00196
Participating Start Date
4/1/1999
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
103 W MARKET ST STE P
THE ATRIUM BLDG
WARREN, OH 44481
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald Dwinnells, CEO
(330) 747-2330
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
10/7/2024
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