| NPI | 1477150951 |
|---|---|
| Doing Business As | GENESIS OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN CFO 740-454-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |