OrganizationActive
Genoa Healthcare LLC
NPI 1760914709 · Long Term Care Pharmacy · Mayfield, KY
Provider details
- NPI number
- 1760914709
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
1525 Cuba Rd Ste P
Mayfield, KY 42066-6809
Phone: (270) 804-4163
Fax: (270) 247-8603
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.