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GENOA HEALTHCARE LLC
STD337104 A Healthy Dose Foundation, Inc.
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Covered Entity Details
Entity Name
A Healthy Dose Foundation, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337104
Entity Address
6812 22nd Avenue North
St. Petersburg, FL 33710
Grant Number
NH25PS005131
Participating Start Date
7/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
12512 BRUCE B DOWNS BLVD STE A142
TAMPA, FL 33612
Pharmacy Comments
Contract Details
Approval Date
1/8/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brittney Roy, President
(727) 463-2477
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
1/8/2025
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