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Genoa Healthcare LLC — NPI 1104793975, Columbus, MS | NPI Central

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NPI 1104793975

OrganizationActive

Genoa Healthcare LLC

NPI 1104793975 · Long Term Care Pharmacy · Columbus, MS

Provider details

NPI number: 1104793975
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
Community/Retail Pharmacy3336C0003X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

1001 Main St Rm P

Columbus, MS 39701-4751

Phone: (800) 519-1139

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3201

Registry dates

Enumerated: 2025-10-17
Last updated: 2025-10-17
Certified: 2025-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.