OrganizationActive
Genoa Healthcare LLC
NPI 1417196742 · Long Term Care Pharmacy · Springdale, AR
Provider details
- NPI number
- 1417196742
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Karen Bohmer, Secretary
- License
- 036441 (AR)
Practice location
2400 S 48th St
Springdale, AR 72762-6683
Phone: (479) 419-9285
Fax: (479) 419-9345
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.