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Genoa Healthcare LLC — NPI 1205405206, Petersburg, VA | NPI Central

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NPI 1205405206

OrganizationActive

Genoa Healthcare LLC

NPI 1205405206 · Long Term Care Pharmacy · Petersburg, VA

Provider details

NPI number: 1205405206
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

20 W Bank St Ste 6

Petersburg, VA 23803-3279

Phone: (804) 835-5425

Fax: (804) 823-3345

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2021-06-23
Last updated: 2024-04-12
Certified: 2024-04-12

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