Contract Pharmacy Details

GENOA HEALTHCARE LLC
CHC29001-05 Wheeler Clinic, Inc.

Covered Entity Details

Entity Name

Wheeler Clinic, Inc.

Subdivision Name

Waterbury Health & Wellness Center

Type

HRSA-Funded Health Center

340B ID

CHC29001-05

Entity Address

855 Lakewood Rd
Waterbury, CT 06704-2483

Grant Number

H80CS29001

Participating Start Date

10/1/2020

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

1 HOPE ST STE P
BRISTOL, CT 06010

Pharmacy Comments

Contract Details

Approval Date

4/15/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Athena Marie Dellas, Chief Financial Officer
(860) 793-4235

Contract Pharmacy Representative

Optum
Avani Patel, VP, 340B Operations
(763) 330-5555

Signed By Date

4/15/2025

340B Drug Pricing Program Database