GENOA HEALTHCARE OF MINNESOTA, LLC

MINNEAPOLIS, MN
NPI1376501510
Entity TypeOrganization
Authorized ContactJODI KERSAVAGE
Site Implementation
360-601-2122
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
(Licence: MN  262600-0)
Enumeration Date2006-05-03
Last Update Date2020-08-22
Business Address
GENOA HEALTHCARE OF MINNESOTA, LLC
825 S 8TH ST SUITE SL-10
MINNEAPOLIS, MN 55404-1208
Phone number: 612-332-6522
Mailing Address
GENOA HEALTHCARE OF MINNESOTA, LLC
510 E MAIN ST
AUBURN, WA 98002-5502
Phone number: 360-218-0830