Organization
GENESIS PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL ONYEMA OLUWEHUJE (PRESIDENT)
(201) 819-7821
Entity
Organization
Contact information
Practice address
166 PASSAIC ST, PASSAIC, NJ 07055-7350
(201) 819-7821
Mailing address
15 OLD OAK DR, MAHWAH, NJ 07430-3047
(201) 819-7821
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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