OrganizationActive
Genoa Healthcare LLC
NPI 1134525694 · Long Term Care Pharmacy · Waukesha, WI
Provider details
- NPI number
- 1134525694
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
514 Riverview Ave
Room 238
Waukesha, WI 53188-3631
Phone: (262) 955-8811
Fax: (262) 232-6593
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2014-11-11
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.