OrganizationActive
Genoa Healthcare LLC
NPI 1053478875 · Long Term Care Pharmacy · Madison, WI
Provider details
- NPI number
- 1053478875
- 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
Practice location
49 Kessel Ct
Room 123
Madison, WI 53711-6200
Phone: (608) 251-1838
Fax: (608) 251-2184
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Other names (DBA / former)
- Doing business as
- Genoa Healthcare
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.