OrganizationActive
Genoa Healthcare LLC
NPI 1619935863 · Long Term Care Pharmacy · Lakewood, WA
Provider details
- NPI number
- 1619935863
- 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
9330 59th Ave Sw Ste 179
Lakewood, WA 98499-2858
Phone: (253) 617-7111
Fax: (253) 231-9427
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.