# GENOA HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134520828
- **Authorized official:** NATASHA HENNESSY (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (612) 722-4249

## Contact information

- **Practice address:** 4900 PERRY HWY, BLDG 2, 3RD FLOOR, PITTSBURGH, PA 15229-2220
- **Practice address phone:** (412) 931-3131
- **Practice address fax:** (412) 223-5384
- **Mailing address:** 137 HOSPITAL DR NE, SUITE Q, FORT WALTON BEACH, FL 32548-5063
- **Mailing address phone:** (412) 931-3131
- **Mailing address fax:** (412) 223-5384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2014
- **Last updated:** 04/26/2021