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Organization

GENOA HEALTHCARE LLC

Active
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Organization

GENOA HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN BOHMER (SECRETARY)
(224) 231-1833
Entity
Organization

Contact information

Practice address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-0907
(812) 886-0951
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(253) 218-0830
(253) 217-4306

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL

Other

Enumeration date
05/24/2010
Last updated
12/17/2024
About Stedi
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  • Eligibility checks