Pharmacy Details

GENOA HEALTHCARE LLC - information as of 5/2/2025 12:37:01 AM

Name
GENOA HEALTHCARE LLC

Address

5707 N 22ND ST
TAMPA, FL 33610

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	01/01/2022	01/01/2024	1/12/2024 2:48 PM
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	10/01/2022	01/01/2024	1/12/2024 2:49 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	10/31/2021	10/17/2022	10/17/2022 2:35 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		GENOA HEALTHCARE, LLC 5707 N 22ND ST TAMPA, FL 33610-4350	GENOA HEALTHCARE LLC 5707 N 22ND ST TAMPA, FL 33610	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 5707 N 22ND ST TAMPA, FL 33610-4350	2/20/2018 3:40 PM
Details	Name	Update		GENOA A QOL HEALTHCARE COMPANY LLC	GENOA HEALTHCARE, LLC	2/20/2018 3:40 PM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 5707 N 22ND ST TAMPA, FL 33610-4350	9/29/2017 6:44 AM
Details	Comments	Insert				8/7/2015 2:43 PM
Details	Is Deleted	Insert			False	8/7/2015 2:43 PM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 5707 N 22ND ST TAMPA, FL 33610-4350	8/7/2015 2:43 PM
Details	Name	Insert			GENOA A QOL HEALTHCARE COMPANY LLC	8/7/2015 2:43 PM