| NPI | 1518141944 |
|---|---|
| Doing Business As | GENESIS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROSALIE K WILLIAMS President 740-354-4363 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 02-1054600) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OH 02-1054600) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2008-02-25 |