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Genoa Healthcare LLC — NPI 1164974523, Racine, WI | NPI Central

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NPI 1164974523

OrganizationActive

Genoa Healthcare LLC

NPI 1164974523 · Long Term Care Pharmacy · Racine, WI

Provider details

NPI number: 1164974523
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

1717 Taylor Ave Ste P1

Racine, WI 53403-2405

Phone: (262) 672-6183

Fax: (262) 320-4806

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Other names (DBA / former)

Doing business as: Genoa Healthcare, LLC

Registry dates

Enumerated: 2016-11-01
Last updated: 2024-12-26
Certified: 2024-12-26

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