| NPI | 1336178367 |
|---|---|
| Doing Business As | GENUARDIS PHARMACY #0633 |
| Entity Type | Organization |
| Authorized Contact | MICHELLE A RIVERS Managed Care Plan Specialist 623-869-3524 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00615800) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-08-05 |