NPI 1073571642

Genoa Healthcare LLC

Organisation Long Term Care Pharmacy Bloomington, IN

Practice location

Address: 645 S Rogers St, Bloomington, IN 47403-2353
Phone: (812) 355-6340
Fax: (812) 961-6510
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

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Pharmacy

Suppliers Taxonomy 333600000X

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1073571642
Entity type: Organization
NPI issued: 3 May 2006
Record last updated: 26 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.