OrganizationActive
Genoa Healthcare LLC
NPI 1003834631 · Long Term Care Pharmacy · Athens, TN
Provider details
- NPI number
- 1003834631
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
Practice location
1805 Ingleside Ave
Athens, TN 37303-2105
Phone: (423) 745-3367
Fax: (423) 745-3368
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.