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Organization
GENOA HEALTHCARE LLC
Active
Organization
GENOA HEALTHCARE LLC
Active
Parent organization
GENOA HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENOA HEALTHCARE LLC
Authorized official
KAREN BOHMER (SECRETARY)
(224) 231-1833
Entity
Organization
Contact information
Practice address
8441 WAYZATA BLVD, SUITE 340, GOLDEN VALLEY, MN 55426-1372
(952) 746-8185
(952) 746-8187
Mailing address
PO BOX 77030, MINNEAPOLIS, MN 55480-7730
(253) 218-0830
(253) 217-4306
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
Primary
—
NULL
Other
Enumeration date
01/16/2018
Last updated
03/24/2023
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