Genoa Healthcare LLC

NPI #1215445085 in Golden Valley, Minnesota

Provider Information

NPI Number: 1215445085
Entity Type: Organization
Organization Name: Genoa Healthcare LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GENOA HEALTHCARE LLC
Primary Specialty: Pharmacy - Managed Care Organization Pharmacy
Enumeration Date: Jan 16, 2018
Last Updated: Mar 24, 2023

Practice Location

Address: 8441 WAYZATA BLVD, SUITE 340
City: Golden Valley
State: Minnesota
ZIP Code: 55426-1372
Phone: (952) 746-8185

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy - Managed Care Organization Pharmacy — Managed Care Organization Pharmacy	3336M0003X	Primary

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