340B Drug Pricing Program Database

Pharmacy Name

GENOA COMMUNITY PHARMACY

Pharmacy Address

508 WILLARD AVE.
PO BOX 10
GENOA, NE 68640-0010

Pharmacy Comments

Approval Date

11/2/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Cory D Nelson, CEO
(402) 993-2283

Contract Pharmacy Representative

Genoa Community Pharmacy
Robert Bailey, President
(402) 993-2400

Signed By Date

10/11/2017