| NPI | 1023501061 |
|---|---|
| Doing Business As | GENESIS WELLNESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AVERY ANN JONES President 347-879-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2019-01-10 |