NPI | 1013427475 |
---|---|
Doing Business As | GENOA HEALTHCARE, LLC |
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH PMY.022863300-0) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2017-10-11 |
Last Update Date | 2024-01-25 |