OrganizationActive
Genoa Healthcare LLC
NPI 1104019082 · Long Term Care Pharmacy · Cleveland, TN
Provider details
- NPI number
- 1104019082
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Karen Bohmer, Secretary
Practice location
940 S Ocoee St Ste 110
Cleveland, TN 37311-2601
Phone: (423) 790-1342
Fax: (423) 790-1347
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 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.