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Genoa Healthcare LLC

Pharmacy, Long Term Care Pharmacy in Columbus, GA. Organization (NPI-2).

NPI number1164035382
StatusActive
Last updated in NPPESMar 29, 2024

Details

NPI
1164035382
Entity type
Organization (NPI-2)
Legal business name
Genoa Healthcare LLC
Organization subpart
No
Enumeration date
Aug 27, 2020
Certification date
Mar 29, 2024
Last updated
Mar 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336L0003X Pharmacy, Long Term Care Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Practice location

2100 Comer Ave
1st Floor, Rm 1164
Columbus, GA 31904-8725

Phone 067-405-4997 · Fax 706-330-2571

Mailing address

707 S Grady Way Ste 400
Renton, WA 98057-3246

Phone 253-218-0830 · Fax 253-217-4306

Authorized official

Karen Bohmer
Secretary
2242311833

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