Whalio Doctors

NPI 1013536630

Genoa Healthcare LLC

Organisation Long Term Care Pharmacy Phoenix, AZ

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
Suppliers Taxonomy 3336L0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

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.