Pharmacy Details

GENOA HEALTHCARE LLC - information as of 6/4/2025 12:09:17 PM

Name
GENOA HEALTHCARE LLC

Address

93 WEST PALISADE AVE, ROOM 128
ENGLEWOOD, NJ 07631

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	CH021270	COMMUNITY HEALTH CARE, INC.	CompleteCare Adult & Specialty Medical Professionals	HRSA-Funded Health Center	30 N Pearl St		BRIDGETON	NJ	01/01/2024		1/1/2024 12:01 AM
Details	RWI07101	Rutgers, The State University of New Jersey	RBHS-New Jersey Medical School	Ryan White Part A	140 Bergen Street	ACC, D- Level, Room D1725	Newark	NJ	01/01/2025		1/1/2025 12:01 AM
Details	STD071033	Rutgers, The State University of New Jersey	RBHS - New Jersey Medical School	Sexually Transmitted Diseases	140 Bergen Street	ACC, D-Level, Room D1725	NewarK	NJ	01/01/2025		1/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		GENOA HEALTHCARE, LLC 93 WEST PALISADE AVE, ROOM 128 ENGLEWOOD, NJ 07631-2611	GENOA HEALTHCARE LLC 93 WEST PALISADE AVE, ROOM 128 ENGLEWOOD, NJ 07631	9/20/2022 11:31 AM
Details	Name	Update		GENOA HEALTHCARE, LLC	GENOA HEALTHCARE LLC	9/20/2022 11:31 AM
Addresses	Pharmacy Address	Insert			GENOA HEALTHCARE, LLC 93 WEST PALISADE AVE, ROOM 128 ENGLEWOOD, NJ 07631-2611	2/13/2018 1:37 PM
Details	Name	Update		GENOA A QOL HEALTHCARE COMPANY LLC	GENOA HEALTHCARE, LLC	2/13/2018 1:37 PM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 93 WEST PALISADE AVE, ROOM 128 ENGLEWOOD, NJ 07631-2611	9/29/2017 6:44 AM
Details	Comments	Insert				4/22/2016 4:35 PM
Details	Is Deleted	Insert			False	4/22/2016 4:35 PM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 93 WEST PALISADE AVE, ROOM 128 ENGLEWOOD, NJ 07631-2611	4/22/2016 4:35 PM
Details	Name	Insert			GENOA A QOL HEALTHCARE COMPANY LLC	4/22/2016 4:35 PM