| NPI | 1497713739 |
|---|---|
| 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 |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336I0012X Pharmacy Institutional Pharmacy (Licence: OR 002046) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-04-25 |