Organization
GENESIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS CARRASQUILLO (OWNER)
(787) 839-5015
Entity
Organization
Contact information
Practice address
CARRETERA #3 KM 123.0, PATILLAS, PR 00723
(787) 839-5015
Mailing address
PO BOX 986, PATILLAS, PR 00723-0986
(787) 839-5015
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
07F2072
PR
Other
Enumeration date
07/28/2006
Last updated
09/19/2008
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