Genoa Healthcare Llc
Long Term Care Pharmacy in Scottsburg, IN(View on Map)
Legal Business Name
Genoa Healthcare Llc
NPI Number
1104417518
NPI Type
Organization
Enumeration Date
01/28/2021
Specialties
(Taxonomies)Name
Code
3336L0003X
3336C0003X
332B00000X
333600000X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
707 S GRADY WAY STE 400
75 N 1ST ST RM 16
City
Renton
Scottsburg
State
WA
IN
Postal Code
98057-3246
47170-1637
Country
US
US
Telephone Number
(253) 218-0830
(812) 722-0053
Authorized Official
Name
Karen Bohmer
Title or Position
SECRETARY
Telephone Number
(224) 231-1833
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/26/2024