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Genoa Healthcare, LLC — NPI 1396703559, Puyallup, WA | NPI Central

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NPI 1396703559

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Genoa Healthcare, LLC

NPI 1396703559 · Long Term Care Pharmacy · Puyallup, WA

Provider details

NPI number: 1396703559
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Ryan Niemeyer, Controller(253) 218-0830

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003XLicense CF57740 (WA)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

325 E Pioneer Ave

Suite B-124

Puyallup, WA 98372-3265

Phone: (253) 770-7000

Fax: (253) 770-7018

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

Po Box 77030

Minneapolis, MN 55480-7730

Other names (DBA / former)

Doing business as: Genoa Healthcare

Registry dates

Enumerated: 2006-05-03
Last updated: 2012-04-25

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