NPI 1013276047
Genoa Healthcare LLC
Practice location
- Address
- 1642 S Priest Dr Bldg 6 STE 101, Tempe, AZ 85281-6204
- Phone
- (480) 296-0097
- Fax
- (480) 921-4127
- Mailing address
- 707 S Grady Way STE 400, Renton, WA 98057-3246
Authorised official
- Name
- Karen Bohmer
- Title
- Secretary
- Phone
- (224) 231-1833
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1013276047
- Entity type
- Organization
- NPI issued
- 11 May 2012
- Record last updated
- 17 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.