| NPI | 1548731870 | 
|---|---|
| Doing Business As | GENRX PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | GEORGE C. SPROWLS Legal Assistant 602-892-4250 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy | 
| Additional Taxonomies | 333600000X Pharmacy | 
| Enumeration Date | 2018-12-16 | 
| Last Update Date | 2018-12-16 |