OrganizationActive
Genoa Healthcare LLC
NPI 1104666932 · Long Term Care Pharmacy · Rapid City, SD
Provider details
- NPI number
- 1104666932
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Karen Bohmer, Secretary
Practice location
308 Quincy St Ste 100
Rapid City, SD 57701-2813
Phone: (605) 646-6235
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.