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Genoa Healthcare LLC — NPI 1700639853, Van Buren, AR | NPI Central

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NPI 1700639853

OrganizationActive

Genoa Healthcare LLC

NPI 1700639853 · Long Term Care Pharmacy · Van Buren, AR

Provider details

NPI number: 1700639853
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

2705 Oak Lane Building B, Suite P

Van Buren, AR 72956-4816

Phone: (479) 343-6002

Fax: (479) 582-4369

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057-3246

Registry dates

Enumerated: 2024-04-09
Last updated: 2024-11-08
Certified: 2024-11-08

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