OrganizationActive
Genoa Healthcare LLC
NPI 1417797242 · Long Term Care Pharmacy · Lewiston, ME
Provider details
- NPI number
- 1417797242
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
1155 Lisbon St Ste P
Lewiston, ME 04240-5025
Phone: (207) 241-6589
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.