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GENOA HEALTHCARE LLC NPI 1487717898


NPI Information

NPI: 1487717898
Provider Name: GENOA HEALTHCARE, LLC

Former Legal Business Name: 1ST AVENUE PHARMACY INC.

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 50D1078308

Address:
6 E 1ST AVE
SPOKANE, WA
ZIP 99202
Phone: (509) 624-3017
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GENOA HEALTHCARE, LLC is a long term care pharmacy pharmacy in Spokane, WA. 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 1487717898. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is 1st Avenue Pharmacy Inc..

The provider's business location address is:

6 E 1ST AVE
SPOKANE, WA
ZIP 99202-503
Phone: (509) 624-3017
Fax: (509) 624-4330

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 CLIA number assigned to this NPI record is 50D1078308 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 2/1/2024.


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
13336C0002XPharmacyClinic PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyYes

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: 4/28/2024

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