Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genoa Healthcare LLC

Organization Pharmacy · NPI 1578050712

Genoa Healthcare LLC is a Pharmacy in Detroit, Michigan. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19750 Burt Rd Ste P
Detroit, MI 48219-2078
Phone: (313) 221-5494
Fax: (313) 736-5984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1578050712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Bohmer — Secretary · (224) 231-1833
Other names Genoa Healthcare, Llc
NPI enumeratedApril 13, 2018
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address707 S Grady Way Ste 400, Renton, WA 98057-3246

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