| NPI | 1437663747 |
|---|---|
| Other Name | GENOME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAVANYA AKULA Owner/President/PIC/AO 516-775-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035893) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-01-24 |