| NPI | 1265659361 |
|---|---|
| Doing Business As | GENUARDIS PHARMACY #1007 |
| Entity Type | Organization |
| Authorized Contact | MICHELLE RIVERS Mang Care Plan Spec 623-869-3524 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481710) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-08-06 |