# GENOVATIONS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genovations Pharmacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477954162
- **Authorized official:** CLAUDIA KIM (PHARMACY OPERATIONS MANAGER)
- **Authorized official phone:** (832) 701-0422

## Contact information

- **Practice address:** 10301 STELLA LINK RD STE C, HOUSTON, TX 77025-5447
- **Practice address phone:** (832) 941-0850
- **Practice address fax:** (832) 941-0849
- **Mailing address:** 10301 STELLA LINK RD STE C, HOUSTON, TX 77025-5447
- **Mailing address phone:** (832) 941-0850
- **Mailing address fax:** (832) 941-0849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336M0003X | Managed Care Organization Pharmacy | 29959 | TX | Yes |

## Other

- **Enumeration date:** 09/12/2014
- **Last updated:** 05/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2151753 | PK | — |