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GENOA HEALTHCARE LLC
RWI300302 DEKALB COUNTY BOARD OF HEALTH
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Covered Entity Details
Entity Name
DEKALB COUNTY BOARD OF HEALTH
Subdivision Name
Type
Ryan White Part A
340B ID
RWI300302
Entity Address
3807 Clairmont Rd. N.E.,
Room 1128
Chamblee, GA 30341
Grant Number
H89HA00007
Participating Start Date
7/1/1996
Last Recertification Date
2/11/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
445 WINN WAY STE 220
DECATUR, GA 30030
Pharmacy Comments
Contract Details
Approval Date
1/12/2015
Contract Begin Date
1/12/2015
Carve-In Effective Date
Contract Comments
1/12/2015 Immediate Contract begin date authorized
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jeff Cheek, Director, Ryan White Program
(404) 612-0789
Contract Pharmacy Representative
Genoa healthcare, LLC
Larry Hart, Director New Business
(412) 613-4434
Signed By Date
1/12/2015
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