OrganizationActive
Genoa Healthcare LLC
NPI 1962929505 · Long Term Care Pharmacy · Davenport, IA
Provider details
- NPI number
- 1962929505
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karen Bohmer, Secretary(224) 231-1833
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
1441 W Central Park Ave Ste 53
Davenport, IA 52804-1707
Phone: (563) 265-6955
Fax: (563) 275-3296
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Other names (DBA / former)
- Doing business as
- Genoa Healthcare
Registry dates
- Enumerated
- 2017-08-24
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.