OrganizationActive
Genoa Healthcare LLC
NPI 1386198141 · Long Term Care Pharmacy · Boise, ID
Provider details
- NPI number
- 1386198141
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
Practice location
1276 W River St Ste 138
Boise, ID 83702-7066
Phone: (208) 576-4500
Fax: (208) 336-6468
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2016-08-10
- 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.