GENOA HEALTHCARE LLC NPI 1215445085

NPI Information

NPI: 1215445085
Provider Name: GENOA HEALTHCARE LLC
Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
8441 WAYZATA BLVD, SUITE 340
GOLDEN VALLEY, MN
ZIP 55426
Phone: (952) 746-8185
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GENOA HEALTHCARE LLC is a managed care organization pharmacy pharmacy in Golden Valley, MN. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. GENOA HEALTHCARE LLC NPI is 1215445085. The provider is registered as an organization entity type.

The provider's business location address is:

8441 WAYZATA BLVD, SUITE 340
GOLDEN VALLEY, MN
ZIP 55426-372
Phone: (952) 746-8185
Fax: (952) 746-8187

The provider's authorized official is Karen Bohmer .
The authorized official title is Secretary and has the following contact phone number (224) 231-1833.

The enumeration date for this NPI number is 1/16/2018 and was last updated on 3/24/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	333600000X	Pharmacy		No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy	No
3	3336M0003X	Pharmacy	Managed Care Organization Pharmacy	Yes

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: 5/5/2024

NPI Synchronization or Removal

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