Genoa Healthcare LLC

NPI #1992335798 in Payette, Idaho

Provider Information

NPI Number: 1992335798
Entity Type: Organization
Organization Name: Genoa Healthcare LLC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Jan 21, 2020
Last Updated: Jan 25, 2024

Practice Location

Address: 1441 NE 10TH AVE STE P1
City: Payette
State: Idaho
ZIP Code: 83661-5420
Phone: (208) 739-9853

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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