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Genoa Healthcare Llc
Long Term Care Pharmacy in Jackson, Mississippi
NPI 1720468911

Genoa Healthcare Llc is a Long Term Care Pharmacy based in Renton, MS and is specialized in Long Term Care Pharmacy. Genoa Healthcare Llc practices in Jackson, MS. The NPI Number for Genoa Healthcare Llc is 1720468911 and holds a License No. 09098/1.1 (Mississippi).

The current practice location address for Genoa Healthcare Llc is 3450 Highway 80 W Rm 68, Jackson, MS and can be reached out via phone at 601-824-1667 and via fax at 601-825-6347. You can also correspond with Genoa Healthcare Llc through the mailing address at 707 S GRADY WAY STE 400, RENTON, WA - 98057-3246 (mailing address contact number: 253-218-0830).

Location: 3450 Highway 80 W Rm 68, Jackson, MS, 98057-3246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720468911
Provider Name
Genoa Healthcare Llc
Credential
Provider Entity Type
Organization
Address
3450 Highway 80 W Rm 68, Jackson, MS, 98057-3246
Phone Number
601-824-1667
Fax Number
601-825-6347
Provider Enumeration Date
06/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3450 Highway 80 W Rm 68
City
Jackson
State
Mississippi
Zip
39209
Phone Number
601-824-1667
Fax Number
601-825-6347
person
Provider Business Mailing Address Details
Address
3450 Highway 80 W Rm 68
City
Jackson
State
Mississippi
Zip
39209
Phone Number
601-824-1667
Fax Number
601-825-6347
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
09098/1.1 (Mississippi)
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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