Organization · Type 2 NPI
Genoa Healthcare LLC
Long Term Care Pharmacy · Peru, IN
NPI number
1457065534
Active
Practice location
315 W Old Key Dr Ste 130
Peru, IN 46970-9058
Fax (765) 588-0205
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 1457065534
Genoa Healthcare LLC's National Provider Identifier is 1457065534, issued on Jan 12, 2023. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Peru, IN. The record was last updated on Apr 17, 2024.