GENOA, A QOL HEALTHCARE COMPANY, LLC
Pharmacy at State Blvd, Fort Wayne, IN

License number
Indiana 60005934A
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
License number
Indiana 60005964A
Category
Suppliers
Type
Pharmacy
Owner
Name: RYAN NIEMEYER
Title: CONTROLLER
Phone: (253) 218-0830
Address
Address 2
909 E State Blvd, Fort Wayne, IN 46805
PO Box 77030, Minneapolis, MN 55480
National Provider ID: 1497773014
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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