| NPI | 1639848021 |
|---|---|
| Doing Business As | GENEVA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CLARKE KUELTZO President 331-265-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-15 |