Genoa Healthcare LLC
Pharmacy, Long Term Care Pharmacy in Flagstaff, AZ. Organization (NPI-2).
NPI number1033551908
StatusActive
Last updated in NPPESDec 26, 2024
Details
- NPI
- 1033551908
- Entity type
- Organization (NPI-2)
- Legal business name
- Genoa Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2013
- Certification date
- Dec 26, 2024
- Last updated
- Dec 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Practice location
2187 N Vickey StFlagstaff, AZ 86004-6121
Phone 928-714-6486 · Fax 928-522-6104
Mailing address
707 S Grady Way Ste 400Renton, WA 98057-3246
Phone 253-218-0830 · Fax 253-217-4306
Authorized official
Karen Bohmer
Secretary
2242311833
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