Genoa Healthcare LLC

NPI #1184002065 in Waukegan, Illinois

Provider Information

NPI Number: 1184002065
Entity Type: Organization
Organization Name: Genoa Healthcare LLC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: May 12, 2015
Last Updated: Dec 26, 2024

Practice Location

Address: 3010 GRAND AVE RM 1104
City: Waukegan
State: Illinois
ZIP Code: 60085-2321
Phone: (224) 419-5100

Authorized Official

Name: KAREN BOHMER
Title: SECRETARY
Phone: (224) 231-1833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X	Primary

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