Pharmacy Details

GENOA HEALTHCARE LLC - information as of 5/25/2025 2:11:45 AM

Name
GENOA HEALTHCARE LLC

Address

49 KESSEL CT, ROOM 123
MADISON, WI 53711

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	FQHC638544	Menominee Indian Tribe of Wisconsin	Menominee Tribal Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	W3275 WOLF RIVER ROAD		Keshena	WI	04/01/2023	02/28/2024	3/13/2024 10:34 AM
Details	SCH520109-00	MILE BLUFF MEDICAL CENTER INC.		Sole Community Hospital	1050 DIVISION STREET		Mauston	WI	07/01/2023		7/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		GENOA HEALTHCARE, LLC 49 KESSEL CT, ROOM 123 MADISON, WI 53711-6227	GENOA HEALTHCARE LLC 49 KESSEL CT, ROOM 123 MADISON, WI 53711	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 49 KESSEL CT, ROOM 123 MADISON, WI 53711-6227	2/22/2018 2:07 PM
Details	Name	Update		GENOA A QOL HEALTHCARE COMPANY LLC	GENOA HEALTHCARE, LLC	2/22/2018 2:07 PM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 49 KESSEL CT, ROOM 123 MADISON, WI 53711-6227	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		GENOA A QOL HEALTHCARE COMPANY LLC 625 WEST WASHINGTON AVENUE MADISON, WI 53703-2637	GENOA A QOL HEALTHCARE COMPANY LLC 49 KESSEL CT, ROOM 123 MADISON, WI 53711-6227	8/31/2016 11:36 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 625 WEST WASHINGTON AVENUE MADISON, WI 53703-2637	8/7/2015 2:43 PM
Details	Name	Insert			GENOA A QOL HEALTHCARE COMPANY LLC	8/7/2015 2:43 PM