Genoa Healthcare LLC
Pharmacy, Long Term Care Pharmacy in Southgate, MI. Organization (NPI-2).
NPI number1124605035
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1124605035
- Entity type
- Organization (NPI-2)
- Legal business name
- Genoa Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 333600000X | Pharmacy | – | – |
Practice location
13101 Allen Rd Bldg 4 Ste 511Southgate, MI 48195-2216
Phone 734-720-0062 · Fax 734-325-1003
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
Is something wrong?
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All 5 Long Term Care Pharmacy providers in Southgate · All 2,117 providers in Southgate
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