OrganizationActive
Genoa Healthcare LLC
NPI 1518319508 · Long Term Care Pharmacy · Fairfax, VA
Provider details
- NPI number
- 1518319508
- 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
8221 Willow Oaks Corporate Dr Ste 450
Fairfax, VA 22031-4512
Phone: (703) 531-3759
Fax: (703) 560-7675
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2016-07-01
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.