| NPI | 1114373586 |
|---|---|
| Doing Business As | GENTEX PHARMA LLC |
| Entity Type | Organization |
| Authorized Contact | FORD JENNINGS MUNDY Owner 870-243-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MS 06677/6.1) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |