NPI | 1144728452 |
---|---|
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: NH 04420) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2018-02-01 |
Last Update Date | 2024-01-24 |