| NPI | 1053876813 |
|---|---|
| Doing Business As | GENRX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GEORGE SPROWLS Legal Assistant 602-892-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |