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 |