Genoa Healthcare, Llc, NPI 1306086749
Long Term Care Pharmacy in Dayville, CT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306086749
NPI Entity Type Organization
Provider Name Genoa Healthcare, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1007 N Main St, Dayville, CT, US
Provider Mailing Address 707 S Grady Way Ste 700, Renton, WA, US, 980573243
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Joseph Douglas
Official Position CEO
Phone 815-404-4871

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Business Address

Genoa Healthcare, Llc
1007 N Main St

Dayville, CT, US

Phone: 860-457-4690
Fax: 860-779-1058

Mailing Address

Genoa Healthcare, Llc
707 S Grady Way Ste 700
Renton, WA, US
ZIP 980573243
Phone: 253-218-0830
Fax: 253-217-4306

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336C0003X

Suppliers

Pharmacy

No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0721399 NCPDP 01
PCY.0002135 CT BOP LICENSE 01
FG1284176 DEA 01
008003207 CT MEDICAID 05

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