OrganizationActive
Genoa Healthcare LLC
NPI 1972137842 · Long Term Care Pharmacy · Appleton, WI
Provider details
- NPI number
- 1972137842
- 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
4635 W College Ave Ste 114
Appleton, WI 54914-8507
Phone: (920) 268-0975
Fax: (920) 997-9551
Approximate (ZIP-level) locationGet directions
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Registry dates
- Enumerated
- 2020-02-28
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.