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Genoa Healthcare, Llc
Long Term Care Pharmacy in Rockford, Illinois
NPI 1851496160

Genoa Healthcare, Llc is a Long Term Care Pharmacy based in Minneapolis, IL and is specialized in Long Term Care Pharmacy. Genoa Healthcare, Llc practices in Rockford, IL. The NPI Number for Genoa Healthcare, Llc is 1851496160 and holds a License No. (Illinois).

The current practice location address for Genoa Healthcare, Llc is 526 W State St, Rockford, IL and can be reached out via phone at 815-962-8192 and via fax at 815-962-5703.

Location: 526 W State St, Rockford, IL, 55480-7730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851496160
Provider Name
Genoa Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
526 W State St, Rockford, IL, 55480-7730
Phone Number
815-962-8192
Fax Number
815-962-5703
Provider Enumeration Date
09/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1480057 01 NCPDP PROVIDER IDENTIFICATION NUMBER
743152173002 05 IL
institution
Provider Business Practice Location Address Details
Address
526 W State St
City
Rockford
State
Illinois
Zip
61101-1214
Phone Number
815-962-8192
Fax Number
815-962-5703
person
Provider Business Mailing Address Details
Address
526 W State St
City
Rockford
State
Illinois
Zip
61101-1214
Phone Number
815-962-8192
Fax Number
815-962-5703
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
58013565 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
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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