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
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
03/24/2023
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