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Organization

GENESIS PHARMACY CORP

Active
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Organization

GENESIS PHARMACY CORP

Active
Other names
The Medicine Shoppe, Enova Care Pharmacy LTC
Organization subpart
No

Provider details

NPI number
Authorized official
FADY MOSAAD RPH (CEO)
(951) 245-1373
Entity
Organization

Contact information

Practice address
31946 MISSION TRL STE A1, LAKE ELSINORE, CA 92530-4539
(951) 245-1373
(877) 489-1666
Mailing address
31946 MISSION TRL STE A1, LAKE ELSINORE, CA 92530-4539
(951) 245-1373
(877) 489-1666

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57029
PHARMACY PERMIT
CA
Enumeration date
07/08/2026
Last updated
09/24/2026
About Stedi
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