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Genoa Healthcare LLC — NPI 1720430358, Bristol, TN | NPI Central

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NPI 1720430358

OrganizationActive

Genoa Healthcare LLC

NPI 1720430358 · Long Term Care Pharmacy · Bristol, TN

Provider details

NPI number: 1720430358
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

1145 Volunteer Parkway

Suite 165

Bristol, TN 37620-4652

Phone: (423) 845-4475

Fax: (423) 217-6165

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

707 S Grady Way Ste 400

Renton, WA 98057

Registry dates

Enumerated: 2016-07-07
Last updated: 2024-11-27
Certified: 2024-11-27

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