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
8550 CUTHILLS CIR STE 200, LINCOLN, NE 68526-9523
(402) 261-0720
(402) 484-0092
Mailing address
PO BOX 77030, MINNEAPOLIS, MN 55480-7730
(253) 218-0830
(253) 217-4306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NE
333600000X
Pharmacy
—
NE
3336L0003X
Long Term Care Pharmacy
Primary
—
NE
Other
Enumeration date
05/12/2010
Last updated
04/27/2021
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