Organization · Type 2 NPI
Genoa Healthcare LLC
Long Term Care Pharmacy · Coos Bay, OR
NPI number
1457959272
Active
Practice location
281 Laclair St Rm 135
Coos Bay, OR 97420-2988
Fax (541) 663-4148
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 1457959272
Genoa Healthcare LLC's National Provider Identifier is 1457959272, issued on Oct 14, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Coos Bay, OR. The record was last updated on Jan 17, 2024.