GENOA HEALTHCARE LLC NPI 1255857371

NPI Information

GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in Kingman, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GENOA HEALTHCARE, LLC NPI is 1255857371. The provider is registered as an organization entity type.

The provider's business location address is:

915 AIRWAY AVE STE B
KINGMAN, AZ
ZIP 86409-573
Phone: (928) 377-1741
Fax: (928) 271-8550

The provider's authorized official is Joseph Douglas .
The authorized official title is Ceo and has the following contact phone number (815) 404-4871.

The enumeration date for this NPI number is 8/21/2017 and was last updated on 10/29/2021.

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:

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