# GENESIS HEALTHCARE SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Roseville Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861449043
- **Authorized official:** MICHAEL NORMAN (CFO)
- **Authorized official phone:** (740) 454-4773

## Contact information

- **Practice address:** 157 S MAIN ST, ROSEVILLE, OH 43777-1238
- **Practice address phone:** (740) 697-0348
- **Mailing address:** 133 N MAYSVILLE AVE, ZANESVILLE, OH 43701-6112
- **Mailing address phone:** (740) 454-5666
- **Mailing address fax:** (740) 452-7563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02-707700 | OH | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 09/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0232000344 | STATE LICENSE | OH |
| 05 | — | 0887901 | — | OH |