| NPI | 1306950944 |
|---|---|
| Doing Business As | GENRX DRUG |
| Entity Type | Organization |
| Authorized Contact | JOHN ROUZITALAB Rph 951-674-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY39942) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-10-25 |