OrganizationActive
Genoa Healthcare LLC
NPI 1013250661 · Long Term Care Pharmacy · Peoria, IL
Genoa Healthcare LLC is a Long Term Care Pharmacy organization in Peoria, IL (NPI 1013250661).
Provider details
- NPI number
- 1013250661
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Practice location
228 Ne Jefferson Ave Ste 207
Peoria, IL 61603-3802
Phone: (309) 285-8231
Fax: (309) 676-0832
Street-level locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2013-04-02
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.