| NPI | 1477954162 |
|---|---|
| Doing Business As | GENOVATIONS PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | CLAUDIA KIM Pharmacy Operations Manager 832-701-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: TX 29959) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2015-05-05 |