Whalio Doctors

NPI 1104646264

Genoa Healthcare LLC

Organisation Long Term Care Pharmacy Green Bay, WI

Practice location

Address
3150 Gershwin Drive Suite P, Green Bay, WI 54311-4328
Phone
(920) 930-6779
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
Suppliers Taxonomy 3336L0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1104646264
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.