# GENESIS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174675599
- **Authorized official:** HOWARD BLEICHMAN PHARMACIST (OWNER)
- **Authorized official phone:** (773) 622-2331

## Contact information

- **Practice address:** 1 N BROADWAY ST, DES PLAINES, IL 60016-2335
- **Practice address phone:** (847) 827-7556
- **Practice address fax:** (847) 827-8263
- **Mailing address:** 1 N BROADWAY ST, DES PLAINES, IL 60016-2335
- **Mailing address phone:** (847) 827-7556
- **Mailing address fax:** (847) 827-8263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 02/28/2008