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1588008957
GENOA HEALTHCARE LLC
PHOENIX, AZ
NPI
1588008957
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Entity Type
Organization
Authorized Contact
KAREN BOHMER
Secretary
224-231-1833
Organization Subpart ?
No
Primary Taxonomy
3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date
2013-04-29
Last Update Date
2024-12-26
Business Address
GENOA HEALTHCARE LLC
3864 N 27TH AVE
PHOENIX, AZ 85017-4703
Phone number: 602-358-0078
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Mailing Address
GENOA HEALTHCARE LLC
707 S GRADY WAY STE 400
RENTON, WA 98057-3246
Phone number: 253-218-0830
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