NPI 1801089404 · live from the CMS NPI Registry
Genoa Healthcare LLC
Pharmacy, Long Term Care Pharmacy in Cheyenne, WY. National Provider Identifier 1801089404, active.
NPI record
| NPI | 1801089404 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Long Term Care Pharmacy 3336L0003X |
| Practice location | 510 W 29th St Ste P, Cheyenne, WY 82001 |
| Practice phone | 307-778-3818 |
| Mailing address | 707 S Grady Way Ste 400, Renton, WA 98057 |
| Enumerated | August 27, 2007 |
| 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.