NPI | 1457380412 |
---|---|
Doing Business As | GENUARDI'S PHARMACY #3026 |
Entity Type | Organization |
Authorized Contact | DELLA TITUS Managed Care Plan Specialist 623-869-3602 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP481157) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2012-10-22 |