NPI | 1124523675 |
---|---|
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 |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-01-17 |