Pharmacy Details

GENOA HEALTHCARE LLC - information as of 4/29/2025 12:35:24 AM

Name
GENOA HEALTHCARE LLC

Address

12512 BRUCE B DOWNS BLVD STE A142
TAMPA, FL 33612

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	FQHCLA430	MENTAL HEALTH CARE, INC.	Gracepoint Wellness Clinic	Health Center Program Look-Alike	5707 N. 22nd Street		Tampa	FL	04/01/2024		4/1/2024 12:01 AM
Details	FQHCLA430A	MENTAL HEALTH CARE, INC.	Gracepoint Wellness Clinic- North Tampa	Health Center Program Look-Alike	13601 Bruce B Downs Blvd Ste 131		Tampa	FL	04/01/2024		4/1/2024 12:01 AM
Details	STD336073	Healthy MD Clinical, LLC (f.k.a. Independent Medical Group, LLC)	Lakeland	Sexually Transmitted Diseases	3900 S. Florida Avenue	Suite 205	Lakeland	FL	10/31/2021	10/17/2022	10/17/2022 2:35 PM
Details	STD336073	Healthy MD Clinical, LLC (f.k.a. Independent Medical Group, LLC)	Lakeland	Sexually Transmitted Diseases	3900 S. Florida Avenue	Suite 205	Lakeland	FL	03/19/2024		3/20/2024 1:54 PM
Details	STD337104	A Healthy Dose Foundation, Inc.		Sexually Transmitted Diseases	6812 22nd Avenue North		St. Petersburg	FL	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		GENOA HEALTHCARE, LLC 12512 BRUCE B DOWNS BLVD STE A142 TAMPA, FL 33612-9209	GENOA HEALTHCARE LLC 12512 BRUCE B DOWNS BLVD STE A142 TAMPA, FL 33612	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 12512 BRUCE B DOWNS BLVD STE A142 TAMPA, FL 33612-9209	7/28/2021 4:42 PM
Addresses	Pharmacy Address	Insert			GENOA HEALTHCARE, LLC 12512 BRUCE B DOWNS BLVD SUITE A142 TAMPA, FL 33612-3807	2/22/2018 2:07 PM
Details	Name	Update		GENOA, A QOL HEALTHCARE COMPANY, LLC	GENOA HEALTHCARE, LLC	2/22/2018 2:07 PM
Details	Comments	Insert				11/21/2017 11:35 AM
Details	Is Deleted	Insert			False	11/21/2017 11:35 AM
Addresses	Pharmacy Address	Insert			GENOA, A QOL HEALTHCARE COMPANY, LLC 12512 BRUCE B DOWNS BLVD SUITE A142 TAMPA, FL 33612-3807	11/21/2017 11:35 AM
Details	Name	Insert			GENOA, A QOL HEALTHCARE COMPANY, LLC	11/21/2017 11:35 AM