Pharmacy Details

GENOA HEALTHCARE LLC - information as of 5/2/2025 12:01:41 AM

Name
GENOA HEALTHCARE LLC

Address

1909 CAREW STREET
FORT WAYNE, IN 46805-4707

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	FQHCLA423	Bowen Health, INC.	Bowen Health Clinic	Health Center Program Look-Alike	850 N Harrison St		Warsaw	IN	10/01/2021		10/1/2021 12:01 AM
Details	FQHCLA446	ALLIANCE HEALTH CENTERS INC	Alliance Health Center	Health Center Program Look-Alike	2700 Lafayette St STE 110		Fort Wayne	IN	10/01/2023		10/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			GENOA HEALTHCARE LLC 1909 CAREW STREET FORT WAYNE, IN 46805-4707	2/8/2018 10:57 AM
Details	Name	Update		GENOA A QOL HEALTHCARE COMPANY LLC	GENOA HEALTHCARE LLC	2/8/2018 10:57 AM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 1909 CAREW STREET FORT WAYNE, IN 46805-4707	9/29/2017 6:44 AM
Details	Comments	Insert				3/15/2016 9:52 AM
Details	Is Deleted	Insert			False	3/15/2016 9:52 AM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 1909 CAREW STREET FORT WAYNE, IN 46805-4707	3/15/2016 9:52 AM
Details	Name	Insert			GENOA A QOL HEALTHCARE COMPANY LLC	3/15/2016 9:52 AM