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GENOA HEALTHCARE LLC
CH040490 CURTIS V. COOPER PRIMARY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
CURTIS V. COOPER PRIMARY HEALTH CARE, INC.
Subdivision Name
FORMERLY WESTSIDE URBAN HLTH CTRS, INC.
Type
HRSA-Funded Health Center
340B ID
CH040490
Entity Address
106 EAST BROAD STREET
SAVANNAH, GA 31401
Grant Number
H80CS00082
Participating Start Date
12/1/1992
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
4451 PAULSEN ST STE 100
SAVANNAH, GA 31405
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Ownership change
Contacts
Covered Entity Signing Official
Albert B. Grandy JR., CEO
(912) 527-1117
Contract Pharmacy Representative
Toni Bowen, Director of Operations
(412) 931-3131
Signed By Date
4/15/2016
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