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1154630598
GENOA HEALTHCARE LLC
CHICAGO, IL
NPI
1154630598
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Entity Type
Organization
Authorized Contact
KAREN BOHMER
Secretary
224-231-1833
Organization Subpart ?
No
Primary Taxonomy
3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date
2010-10-04
Last Update Date
2024-12-26
Business Address
GENOA HEALTHCARE LLC
5710 N BROADWAY ST STE P
CHICAGO, IL 60660-4302
Phone number: 773-728-2310
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Mailing Address
GENOA HEALTHCARE LLC
707 S GRADY WAY STE 400
RENTON, WA 98057-3246
Phone number: 253-218-0830
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