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NPI 1043278229

OrganizationActive

Genoa Healthcare LLC

NPI 1043278229 · Long Term Care Pharmacy · Providence, RI

Provider details

NPI number: 1043278229
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Karen Bohmer, Secretary(224) 231-1833

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers
Institutional Pharmacy3336I0012X
Suppliers

Practice location

530 N Main St Ste 6

Providence, RI 02904-5762

Phone: (401) 276-6370

Fax: (401) 276-6372

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2006-05-03
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.

Genoa Healthcare LLC — NPI 1043278229, Providence, RI | NPI Central