# GENESIS PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medicine Shoppe, Enova Care Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790603512
- **Authorized official:** FADY MOSAAD RPH (CEO)
- **Authorized official phone:** (951) 245-1373

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2026
- **Last updated:** 09/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY57029 | PHARMACY PERMIT | CA |