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Genoa Healthcare LLC — NPI 1164974622, Centralia, WA | NPI Central

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NPI 1164974622

OrganizationActive

Genoa Healthcare LLC

NPI 1164974622 · Long Term Care Pharmacy · Centralia, WA

Provider details

NPI number: 1164974622
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

2428 W Reynolds Ave Ste 146

Centralia, WA 98531-4554

Phone: (360) 559-1591

Fax: (360) 559-0007

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2016-11-01
Last updated: 2024-12-17
Certified: 2024-12-17

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