Organization
GENESIS RX LLC
Active
Organization
GENESIS RX LLC
Active
Other names
Genesis RX
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BREE (PRESIDENT)
(732) 703-1895
Entity
Organization
Contact information
Practice address
1485 FM 1960 BYPASS RD E STE 370, HUMBLE, TX 77338-3964
(888) 474-4832
(210) 468-8267
Mailing address
1485 FM 1960 BYPASS RD E, STE # 370, HUMBLE, TX 77338-3964
(888) 474-4832
(210) 468-8267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124084
PK
—
Enumeration date
03/08/2010
Last updated
10/19/2016
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