NPI 1386158038
Genoa Healthcare LLC
Practice location
- Address
- 309 Holly Ln STE P, Mankato, MN 56001-5422
- Phone
- (507) 550-1127
- Fax
- (507) 216-5163
- 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 (3)
Long Term Care Pharmacy
Primary
Pharmacy
Community/Retail Pharmacy
Registry record
- NPI
- 1386158038
- Entity type
- Organization
- NPI issued
- 16 Nov 2017
- 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.