NPI 1124406087

Genoa Healthcare LLC

Organisation Long Term Care Pharmacy East Hartford, CT

Practice location

Address: 287 Main St STE A-2, East Hartford, CT 06118-1885
Phone: (860) 785-6052
Fax: (860) 828-1333
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 Licence PCY.0002309 (CT)

Other Pharmacy providers in Connecticut →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Connecticut →

Pharmacy

Suppliers Taxonomy 333600000X

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1124406087
Entity type: Organization
NPI issued: 12 May 2015
Record last updated: 17 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.