NPI 1982957601 · live from the CMS NPI Registry
Genoa Healthcare Of Delaware, LLC
Pharmacy, Long Term Care Pharmacy in Wilmington, DE. National Provider Identifier 1982957601, active.
NPI record
| NPI | 1982957601 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Long Term Care Pharmacy 3336L0003X |
| Practice location | 500 W 8th St Ste 1, Wilmington, DE 19801 |
| Practice phone | 253-218-0830 |
| Mailing address | Po Box 77030, Minneapolis, MN 55480 |
| Enumerated | October 18, 2012 |
| Last updated | October 18, 2012 |
| Authorized official | Ryan Niemeyer, Controller |
| Other names | Genoa Healthcare |
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.