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NPI 1104646264

OrganizationActive

Genoa Healthcare LLC

NPI 1104646264 · Long Term Care Pharmacy · Green Bay, WI

Provider details

NPI number: 1104646264
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Authorized official: Karen Bohmer, Secretary

Practice location

3150 Gershwin Drive Suite P

Green Bay, WI 54311-4328

Phone: (920) 930-6779

More WI providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057

Registry dates

Enumerated: 2024-10-14
Last updated: 2024-12-02

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 1104646264, Green Bay, WI | NPI Central