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
1045 JAMES ST STE P100, SYRACUSE, NY 13203-2730
(315) 314-8353
(315) 314-5574
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3201
(253) 218-0830
(253) 217-4306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
01/16/2018
Last updated
04/15/2026
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