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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Institutional Pharmacy |
3336I0012X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1497713739 |
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| LBN Legal business name | GENOA HEALTHCARE, LLC | ||||||||||||||||
| Authorized official | RYAN NIEMEYER - (CONTROLLER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/03/2006 | ||||||||||||||||
| Last updated | 04/25/2012 - About 14 years ago | ||||||||||||||||
| Identifiers |
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GENOA HEALTHCARE, LLC