Organization · Type 2 NPI
Genoa Healthcare LLC
Long Term Care Pharmacy · Englewood, NJ
NPI number
1104297977
Active
Practice location
93 W Palisade Ave Rm 128
Englewood, NJ 07631-2611
Fax (201) 871-2014
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.
About NPI 1104297977
Genoa Healthcare LLC's National Provider Identifier is 1104297977, issued on Oct 19, 2015. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Englewood, NJ. The record was last updated on Dec 26, 2024.