NPI 1093067670
Genoa Healthcare, LLC
Practice location
- Address
- 15317 W Bell Rd STE 106 Suite 106, Surprise, AZ 85374-3901
- Phone
- (623) 544-5190
- Fax
- (623) 214-5234
- Mailing address
- PO Box 77030, Minneapolis, MN 55480-7730
Authorised official
- Name
- Natasha Hennessy
- Title
- Chief Pharmacy Officer
- Phone
- (612) 722-4249
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1093067670
- Entity type
- Organization
- NPI issued
- 8 Oct 2012
- Record last updated
- 26 Apr 2021
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.