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GENOA HEALTHCARE LLC
CH05644D OHIO NORTH EAST HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
OHIO NORTH EAST HEALTH SYSTEMS INC
Subdivision Name
Lloyd McCoy Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH05644D
Entity Address
1977 Niles Rd SE
Warren, OH 44484-5118
Grant Number
H80CS00196
Participating Start Date
7/1/2011
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
1977 NILES ROAD S.E.
WARREN, OH 44484
Pharmacy Comments
Contract Details
Approval Date
9/19/2012
Contract Begin Date
9/19/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
Ronald Dwinnells, CEO
(330) 747-2330
Contract Pharmacy Representative
Genoa healthcare, LLC
Larry Hart, Director New Business
(412) 613-4434
Signed By Date
9/17/2012
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