340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
FQHCLA262 UNIVERSAL MEDICAL SERVICES, INC.
Print
Covered Entity Details
Entity Name
UNIVERSAL MEDICAL SERVICES, INC.
Subdivision Name
AXIS MEDICAL CENTER
Type
Health Center Program Look-Alike
340B ID
FQHCLA262
Entity Address
1801 NICOLLET AVENUE
FLOOR 1
MINNEAPOLIS, MN 55403
Grant Number
LALCS00028
Participating Start Date
7/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
1811 WEIR DRIVE
SUITE 275
WOODBURY, MN 55125
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Theodore James, CEO
(612) 823-2947 Ext: 826
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
10/14/2024
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