| NPI | 1477599090 |
|---|---|
| Doing Business As | GENUARDI'S PHARMACY #4014 |
| 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 | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP481058) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2012-10-23 |