NPI: 1518314699
Provider Name: GENOA HEALTHCARE LLC
Doing Business As: GENOA, A QOL HEALTHCARE COMPANY, LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization
Specialization: Long Term Care Pharmacy
CLIA Number: 36D2274222
Address:
624 MARKET AVE N STE 140
CANTON, OH
ZIP 44702
Phone: (234) 360-0363
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GENOA HEALTHCARE LLC is a long term care pharmacy pharmacy in Canton, OH. 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 1518314699. The provider is registered as an organization entity type.
The provider Is Doing Business As Genoa, A Qol Healthcare Company, Llc.
The provider's business location address is:
624 MARKET AVE N STE 140
CANTON, OH
ZIP 44702-017
Phone: (234) 360-0363
Fax: (330) 453-6627
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 36D2274222 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/19/2016 and was last updated on 1/16/2024.