Organization · Type 2 NPI
Genoa Healthcare LLC
Long Term Care Pharmacy · Dixon, IL
NPI number
1174136451
Active
Practice location
325 Illinois Rt 2 Rm 23
Dixon, IL 61021-9118
Fax (779) 379-7255
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 1174136451
Genoa Healthcare LLC's National Provider Identifier is 1174136451, issued on Aug 26, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Dixon, IL. The record was last updated on Jan 17, 2024.