Organization
GENESIS RX INC
Active
Organization
GENESIS RX INC
Active
Other names
Genesis Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTHONY MARIANO FRANCISCO (PRESIDENT)
(951) 442-3724
Entity
Organization
Contact information
Practice address
5385 WALNUT AVE STE 3, CHINO, CA 91710-2605
(951) 442-3724
Mailing address
22915 CANYON LAKE DR N, CANYON LAKE, CA 92587-8015
(951) 442-3724
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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