GENOA HEALTHCARE LLC NPI 1093067670

NPI Information

GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in Surprise, AZ. The provider is 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. GENOA HEALTHCARE, LLC NPI is 1093067670. The provider is registered as an organization entity type.

The provider's business location address is:

15317 W BELL RD STE 106
SUITE 106
SURPRISE, AZ
ZIP 85374-901
Phone: (623) 544-5190
Fax: (623) 214-5234

The provider's authorized official is Natasha Hennessy .
The authorized official title is Chief Pharmacy Officer and has the following contact phone number (612) 722-4249.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 4/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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