GENOA HEALTHCARE LLC NPI 1558749408

NPI Information

GENOA HEALTHCARE LLC is a long term care pharmacy pharmacy in Fort Wayne, IN. 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 1558749408. The provider is registered as an organization entity type.

The provider's business location address is:

2100 GOSHEN RD STE 111
FORT WAYNE, IN
ZIP 46808-493
Phone: (260) 203-0998
Fax: (260) 482-7151

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 5/12/2015 and was last updated on 1/18/2024.

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:

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