Genoa Healthcare LLC
Pharmacy, Long Term Care Pharmacy in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1790283000
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1790283000
- Entity type
- Organization (NPI-2)
- Legal business name
- Genoa Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2018
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Genoa Healthcare, LLC (Doing Business As)
Practice location
919 Ne 13th St Ste 244Fort Lauderdale, FL 33304
Phone 954-756-9917 · Fax 954-767-0427
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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