OrganizationActive
Genoa Healthcare LLC
NPI 1194440974 · Long Term Care Pharmacy · Jackson, TN
Provider details
- NPI number
- 1194440974
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Karen Bohmer, Secretary
Practice location
45 Executive Dr Ste P
Jackson, TN 38305-2310
Phone: (253) 218-0830
Fax: (253) 217-4306
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2022-10-05
- Last updated
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.