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GENOA HEALTHCARE LLC NPI 1306168786


NPI Information

NPI: 1306168786
Provider Name: GENOA HEALTHCARE, LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
9708 SKILLMAN ST
DALLAS, TX
ZIP 75243
Phone: (214) 553-6136
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GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in Dallas, TX. 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 1306168786. The provider is registered as an organization entity type.

The provider's business location address is:

9708 SKILLMAN ST
DALLAS, TX
ZIP 75243-150
Phone: (214) 553-6136
Fax: (214) 553-8356

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 2/25/2010 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy26803TEXASYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12123912OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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