NPI 1013536630
Genoa Healthcare LLC
Practice location
- Address
- 10844 N 23rd Ave STE P-125, Phoenix, AZ 85029-4939
- Phone
- (480) 372-2858
- Fax
- (602) 944-2492
- 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 (4)
Long Term Care Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Community/Retail Pharmacy
Registry record
- NPI
- 1013536630
- Entity type
- Organization
- NPI issued
- 14 Apr 2020
- Record last updated
- 22 Jan 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.