340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
CH06723Q HIDALGO MEDICAL SERVICES
Print
Covered Entity Details
Entity Name
HIDALGO MEDICAL SERVICES
Subdivision Name
HMS LORDSBURG HSHC
Type
HRSA-Funded Health Center
340B ID
CH06723Q
Entity Address
528 W 2nd St
Lordsburg, NM 88045-1643
Grant Number
H80CS00744
Participating Start Date
10/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
530 EAST DEMOSS STREET, STE P
LORDSBURG, NM 88045
Pharmacy Comments
Contract Details
Approval Date
7/5/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Otero, CEO
(575) 590-7090
Contract Pharmacy Representative
Genoa, a QoL Healthcare Company
Larry Hart, RPH
(412) 613-4434
Signed By Date
7/5/2017
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