Organization
GENESIS RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI MELBY PHARMD (PHARMACIST IN CHARGE)
(218) 740-2345
Entity
Organization
Contact information
Practice address
5 N 3RD AVE W STE 302, DULUTH, MN 55802-1614
(218) 740-2345
Mailing address
5 N 3RD AVE W STE 302, DULUTH, MN 55802-1614
(218) 740-2345
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
265250
MN
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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