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GENOA HEALTHCARE OF CONNECTICUT, LLC
CHC29000-00 UNITED COMMUNITY SERVICES INC
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Covered Entity Details
Entity Name
UNITED COMMUNITY SERVICES INC
Subdivision Name
UCFS Health Center - Norwich
Type
HRSA-Funded Health Center
340B ID
CHC29000-00
Entity Address
47 Town St
Norwich, CT 06360-2315
Grant Number
H80CS29000
Participating Start Date
1/1/2016
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE OF CONNECTICUT, LLC
Pharmacy Address
47 TOWN STREET
SUITE G
NORWICH, CT 06360-2323
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
2/9/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nancy Cowser, Sr VP Strategy
(860) 822-4161
Contract Pharmacy Representative
Stephanie Kornechuk, VP of Purchasing & Contracts
(253) 218-0844
Signed By Date
1/15/2016
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