| NPI | 1245269273 |
|---|---|
| Doing Business As | GENUARDIS PHARMACY #0049 |
| Entity Type | Organization |
| Authorized Contact | MICHELLE A RIVERS Managed Care Analyst 623-869-3524 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00623500) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-08-25 |