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Genoa Healthcare LLC — NPI 1396431532, Nampa, ID | NPI Central

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NPI 1396431532

OrganizationActive

Genoa Healthcare LLC

NPI 1396431532 · Long Term Care Pharmacy · Nampa, ID

Provider details

NPI number: 1396431532
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

217 West Georgia Ave

Suite 120, Room P

Nampa, ID 83686

Phone: (208) 800-6030

Fax: (208) 629-2871

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2023-04-12
Last updated: 2024-01-25
Certified: 2024-01-25

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