NPI | 1740337278 |
---|---|
Doing Business As | GENESIS FIRSTMED PHARMACY (ADDING GENESIS TO D/B/A) |
Entity Type | Organization |
Authorized Contact | MARK G. ROGERS President 563-421-6513 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 1019) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IA 1019) |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IA 1019) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2022-11-02 |