Organization · Type 2 NPI
Genoa Healthcare LLC
Managed Care Organization Pharmacy · Golden Valley, MN
NPI number
1215445085
Active
Practice location
8441 Wayzata Blvd, Suite 340
Golden Valley, MN 55426-1372
Fax (952) 746-8187
Mailing address
PO Box 77030
Minneapolis, MN 55480-7730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Long Term Care Pharmacy | 3336L0003X | None listed |
| Managed Care Organization Pharmacy Primary | 3336M0003X | None listed |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
About NPI 1215445085
Genoa Healthcare LLC's National Provider Identifier is 1215445085, issued on Jan 16, 2018. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Golden Valley, MN. The record was last updated on Mar 24, 2023.