Organization · Type 2 NPI

Genoa Healthcare LLC

Long Term Care Pharmacy · Poplar Bluff, MO

NPI number 1396635660 Active

Practice location

686 Lester St Ste P
Poplar Bluff, MO 63901-5025

Call (573) 772-7225 Map

Fax (573) 298-4750

Mailing address

707 S Grady Way Ste 400
Renton, WA 98057-3201

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 1396635660

Genoa Healthcare LLC's National Provider Identifier is 1396635660, issued on Jul 8, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Poplar Bluff, MO. The record was last updated on Oct 20, 2025.