GENOA HEALTHCARE, LLC
4508 Auburn Way N Ste A104
Auburn, WA 98002
253-373-9944
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 333600000X | Suppliers - Pharmacy | ||
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 3336L0003X | Suppliers - Pharmacy | WA | CF57644 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
6056645 | WA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 4930423 | OTHER |