NPI 1053131136
Genoa Healthcare LLC
Practice location
- Address
- 21 W Clark Avenue Suite 1415, Milford, DE 19963-1849
- Phone
- (302) 930-9065
- Mailing address
- 707 S Grady Way STE 400, Renton, WA 98057
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
- 1053131136
- Entity type
- Organization
- NPI issued
- 14 Oct 2024
- Record last updated
- 2 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.