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Genoa Healthcare LLC — NPI 1538989686, Tifton, GA | NPI Central

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NPI 1538989686

OrganizationActive

Genoa Healthcare LLC

NPI 1538989686 · Long Term Care Pharmacy · Tifton, GA

Provider details

NPI number: 1538989686
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

334 Tifton Eldorado Road Room 30

Tifton, GA 31794-9497

Phone: (229) 391-2281

Fax: (229) 386-7400

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057

Registry dates

Enumerated: 2024-10-14
Last updated: 2024-12-02
Certified: 2024-12-02

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