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1720468911
GENOA HEALTHCARE LLC
JACKSON, MS
NPI
1720468911
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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
2015-06-03
Last Update Date
2024-12-24
Business Address
GENOA HEALTHCARE LLC
3450 HIGHWAY 80 W RM 68
JACKSON, MS 39209
Phone number: 601-824-1667
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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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