| NPI | 1154694404 |
|---|---|
| Doing Business As | GENESIS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY MARIANO FRANCISCO President 951-442-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |