OrganizationActive
Genoa Healthcare LLC
NPI 1881343390 · Long Term Care Pharmacy · Pewaukee, WI
Provider details
- NPI number
- 1881343390
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
2351 Silvernail Rd Rm P
Pewaukee, WI 53072-5402
Phone: (625) 061-0122
Fax: (262) 725-0899
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.