# GENOA HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1841518099
- **Authorized official:** NATASHA HENNESSY (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (612) 722-4249

## Contact information

- **Practice address:** 8550 CUTHILLS CIR STE 200, LINCOLN, NE 68526-9523
- **Practice address phone:** (402) 261-0720
- **Practice address fax:** (402) 484-0092
- **Mailing address:** PO BOX 77030, MINNEAPOLIS, MN 55480-7730
- **Mailing address phone:** (253) 218-0830
- **Mailing address fax:** (253) 217-4306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NE | — |
| 333600000X | Pharmacy | — | NE | — |
| 3336L0003X | Long Term Care Pharmacy | — | NE | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 04/27/2021