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Genoa Healthcare LLC — NPI 1508417247, Portland, ME | NPI Central

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NPI 1508417247

OrganizationActive

Genoa Healthcare LLC

NPI 1508417247 · Long Term Care Pharmacy · Portland, ME

Provider details

NPI number: 1508417247
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

165 Lancaster St Ste P

Portland, ME 04101-2406

Phone: (207) 800-4681

Fax: (207) 253-1552

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2019-09-24
Last updated: 2024-01-26
Certified: 2024-01-26

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