OrganizationActive
Genoa Healthcare LLC
NPI 1811683055 · Long Term Care Pharmacy · Maryville, TN
Provider details
- NPI number
- 1811683055
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Karen Bohmer, Secretary
Practice location
1704 E Broadway Ave Rm 144
Maryville, TN 37804-2916
Phone: (865) 518-0530
Fax: (865) 337-8639
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2023-04-12
- Last updated
- 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.