GENOA HEALTHCARE LLC NPI 1174865133

NPI Information

GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in Rockford, IL. 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 1174865133. The provider is registered as an organization entity type.

The provider's business location address is:

2704 N MAIN ST RM A104
ROCKFORD, IL
ZIP 61103-112
Phone: (815) 977-9046
Fax: (815) 220-5423

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 3/18/2013 and was last updated on 11/3/2021.

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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