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GENOA HEALTHCARE LLC
CHC26581-01 JEFFERSON PAR HUMAN SERVICES AUTHORITY
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Covered Entity Details
Entity Name
JEFFERSON PAR HUMAN SERVICES AUTHORITY
Subdivision Name
JeffCare West Jefferson
Type
HRSA-Funded Health Center
340B ID
CHC26581-01
Entity Address
5001 Westbank Expy
100
Marrero, LA 70072-2954
Grant Number
H80CS26581
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
3616 S I-10 SERVICE ROAD W
METAIRIE, LA 70001
Pharmacy Comments
Contract Details
Approval Date
7/1/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Julie Shaw, CEO
(504) 838-5306
Contract Pharmacy Representative
Larry Hart, Director Implementation
(412) 613-4434
Signed By Date
7/1/2016
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