OrganizationActive
Genoa Healthcare LLC
NPI 1396280962 · Long Term Care Pharmacy · Southaven, MS
Provider details
- NPI number
- 1396280962
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Karen Bohmer, Secretary
Practice location
8791 Northwest Dr
Southaven, MS 38671-2409
Phone: (877) 498-9347
Fax: (877) 536-4207
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2017-01-05
- Last updated
- 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.