| NPI | 1053478875 |
|---|---|
| Doing Business As | GENOA HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9424-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-01-24 |