| NPI | 1184435414 |
|---|---|
| Other Name | GENESIS OUTPATIENT PHARMACY 2Z |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN Cso 740-454-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |