OrganizationActive
Genoa Healthcare LLC
NPI 1013201094 · Long Term Care Pharmacy · Fairfax, VA
Provider details
- NPI number
- 1013201094
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
Practice location
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone: (703) 852-0041
Fax: (703) 289-2790
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2024-12-24
- Certified
- 2024-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.