NPI | 1578007316 |
---|---|
Doing Business As | GENOA, A QOL HEALTHCARE COMPANY, LLC |
Entity Type | Organization |
Authorized Contact | NATASHA HENNESSY Chief Pharmacy Officer 612-722-4249 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MA DS90081) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2016-12-13 |
Last Update Date | 2021-04-26 |