Organization · NPI-2

Genoa Healthcare LLC

Pharmacy, Long Term Care Pharmacy · Lansing, MI

NPI number1881683266
StatusActive
Last updated in NPPESDec 26, 2024

Details

NPI
1881683266
Entity type
Organization (NPI-2)
Legal business name
Genoa Healthcare LLC
Organization subpart
No
Enumeration date
Oct 18, 2005
Certification date
Dec 26, 2024
Last updated
Dec 26, 2024

Taxonomy and licenses

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

Practice location

6250 S Cedar St Ste 2
Lansing, MI 48911-5700

Phone 517-887-3539 · Fax 517-887-3549

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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