Organization · Type 2 NPI

Genoa Healthcare LLC

Long Term Care Pharmacy · Jackson, MS

NPI number 1720468911 Active

Practice location

3450 Highway 80 W Rm 68
Jackson, MS 39209

Call (601) 824-1667 Map

Fax (601) 825-6347

Mailing address

707 S Grady Way Ste 400
Renton, WA 98057-3246

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XNone 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 1720468911

Genoa Healthcare LLC's National Provider Identifier is 1720468911, issued on Jun 3, 2015. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Jackson, MS. The record was last updated on Dec 24, 2024.