OrganizationActive
Genoa Healthcare LLC
NPI 1720468911 · Long Term Care Pharmacy · Jackson, MS
Provider details
- NPI number
- 1720468911
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
Practice location
3450 Highway 80 W Rm 68
Jackson, MS 39209
Phone: (601) 824-1667
Fax: (601) 825-6347
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2015-06-03
- Last updated
- 2024-12-24
- Certified
- 2024-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.