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GENOA HEALTHCARE LLC
CHC26581-00 JEFFERSON PARISH HUMAN SERVICES AUTHORITY
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Covered Entity Details
Entity Name
JEFFERSON PARISH HUMAN SERVICES AUTHORITY
Subdivision Name
JeffCare East Jefferson
Type
HRSA-Funded Health Center
340B ID
CHC26581-00
Entity Address
3616 S I 10 Service Rd W
Metairie, LA 70001-1874
Grant Number
H80CS26581
Participating Start Date
7/1/2016
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
5001 WEST BANK EXPRESSWAY
MARRERO, LA 70072
Pharmacy Comments
Contract Details
Approval Date
7/1/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Shaw, CEO
(504) 838-5306
Contract Pharmacy Representative
Genoa, a QoL Healthcare Company
Larry Hart, RPH
(412) 613-4434
Signed By Date
7/1/2016
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