Organization
GENOA HEALTHCARE LLC
Active
Other names
Genoa Healthcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BOHMER (SECRETARY)
(224) 231-1833
Entity
Organization
Contact information
Practice address
58646 MCNULTY WAY STE 116, SAINT HELENS, OR 97051
(503) 438-4543
(503) 946-3056
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(253) 218-0830
(253) 217-4306
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
01/29/2024
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