NPI 1356797690 · live from the CMS NPI Registry
Genoa Healthcare LLC
Pharmacy, Long Term Care Pharmacy in Casper, WY. National Provider Identifier 1356797690, active.
NPI record
| NPI | 1356797690 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Long Term Care Pharmacy 3336L0003X |
| Practice location | 1430 Wilkins Cir Ste 154, Casper, WY 82601 |
| Practice phone | 307-439-5199 |
| Mailing address | 707 S Grady Way Ste 400, Renton, WA 98057 |
| Enumerated | May 5, 2016 |
| Last updated | December 26, 2024 |
| Authorized official | Karen Bohmer, Secretary |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Long Term Care Pharmacy primary | 3336L0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.