Organization
GENOA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA HENNESSY (CHIEF PHARMACY OFFICER)
(612) 722-4249
Entity
Organization
Contact information
Practice address
4900 PERRY HWY, BLDG 2, 3RD FLOOR, PITTSBURGH, PA 15229-2220
(412) 931-3131
(412) 223-5384
Mailing address
137 HOSPITAL DR NE, SUITE Q, FORT WALTON BEACH, FL 32548-5063
(412) 931-3131
(412) 223-5384
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
04/26/2021
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