NPI | 1568408185 |
---|---|
Doing Business As | GENUARDI'S PHARMACY #3023 |
Entity Type | Organization |
Authorized Contact | MICHELLE ANN RIVERS Managed Care Plan Specialist 623-869-3524 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP481044) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2009-08-05 |