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Genoa Healthcare LLC — NPI 1114551165, Kenosha, WI | NPI Central

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NPI 1114551165

OrganizationActive

Genoa Healthcare LLC

NPI 1114551165 · Long Term Care Pharmacy · Kenosha, WI

Provider details

NPI number: 1114551165
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
Pharmacy333600000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

3536 52nd St Ste P

Kenosha, WI 53144-2662

Phone: (262) 287-0834

Fax: (262) 654-4350

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2020-02-28
Last updated: 2024-01-22
Certified: 2024-01-22

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