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Genoa Healthcare Llc
Long Term Care Pharmacy in Rockford, Illinois
NPI 1174865133

Genoa Healthcare Llc is a Long Term Care Pharmacy based in Renton, IL and is specialized in Long Term Care Pharmacy. Genoa Healthcare Llc practices in Rockford, IL. The NPI Number for Genoa Healthcare Llc is 1174865133 and holds a License No. 054.018414 (Illinois).

The current practice location address for Genoa Healthcare Llc is 2704 N Main St Rm A104, Rockford, IL and can be reached out via phone at 815-977-9046 and via fax at 815-220-5423.

Location: 2704 N Main St Rm A104, Rockford, IL, 98057-3246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174865133
Provider Name
Genoa Healthcare Llc
Credential
Provider Entity Type
Organization
Address
2704 N Main St Rm A104, Rockford, IL, 98057-3246
Phone Number
815-977-9046
Fax Number
815-220-5423
Provider Enumeration Date
03/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2704 N Main St Rm A104
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-977-9046
Fax Number
815-220-5423
person
Provider Business Mailing Address Details
Address
2704 N Main St Rm A104
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-977-9046
Fax Number
815-220-5423
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
054.018414 (Illinois)
Definition
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.
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