National Provider Identifier Database

GENOA HEALTHCARE LLC
Long Term Care Pharmacy

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.


Contact Information

GENOA HEALTHCARE LLC
13045 FALCON DRIVE, SUITE 100, ROOM P
BAXTER, MN56425
Phone: 218-203-6282
Fax: 218-216-1921
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for GENOA HEALTHCARE LLC

NPI Number 1386344745
Legal business name
LBN
GENOA HEALTHCARE LLC
Authorized official KAREN BOHMER - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 03/06/2023
Last updated 01/16/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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