Organization · Type 2 NPI

Genoa Healthcare LLC

Long Term Care Pharmacy · Phoenix, AZ

NPI number 1013536630 Active

Practice location

10844 N 23rd Ave Ste P-125
Phoenix, AZ 85029-4939

Call (480) 372-2858 Map

Fax (602) 944-2492

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	None listed

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.

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About NPI 1013536630

Genoa Healthcare LLC's National Provider Identifier is 1013536630, issued on Apr 14, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 22, 2024.