Whalio Doctors

NPI 1043975626

Genoa Healthcare LLC

Organisation Long Term Care Pharmacy Waterbury, CT

Practice location

Address
969 W Main St STE 2a, Room P, Waterbury, CT 06708-2666
Phone
(203) 437-7280
Fax
(203) 583-4191
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
1043975626
Entity type
Organization
NPI issued
8 Nov 2021
Record last updated
29 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.