| NPI | 1528423670 |
|---|---|
| Doing Business As | GENESISCARE PHARMACY |
| Doing Business As | 21C PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH29594) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2023-08-09 |