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Genoa Healthcare LLC — NPI 1659759504, Vancouver, WA | NPI Central

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NPI 1659759504

OrganizationActive

Genoa Healthcare LLC

NPI 1659759504 · Long Term Care Pharmacy · Vancouver, WA

Provider details

NPI number: 1659759504
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

2502 E Fourth Plain Blvd Rm 102

Vancouver, WA 98661-3965

Phone: (360) 450-4881

Fax: (360) 558-3957

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2015-05-12
Last updated: 2024-04-16
Certified: 2024-04-16

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