| NPI | 1578654034 |
|---|---|
| Doing Business As | GENEVA WOODS MAT-SU PHARMACY #48551 |
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-08-19 |