Organization · Type 2 NPI
Genoa Healthcare LLC
Long Term Care Pharmacy · Peoria, IL
NPI number
1013250661
Active
Practice location
228 NE Jefferson Ave Ste 207
Peoria, IL 61603-3802
Fax (309) 676-0832
Mailing address
707 S Grady Way Ste 400
Renton, WA 98057-3246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | 054.019330 (IL) |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Another provider at this address
Other long term care pharmacy providers in Peoria
About NPI 1013250661
Genoa Healthcare LLC's National Provider Identifier is 1013250661, issued on Apr 2, 2013. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Peoria, IL. The record was last updated on Jan 25, 2024.