| NPI | 1366540239 |
|---|---|
| Doing Business As | GENOA HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | RYAN NIEMEYER Controller 253-218-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH22102) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-03-07 |