Organization
GENESIS ENTERPRISES INC
Active
Other names
Genesis Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MANION (OWNER)
(314) 485-8600
Entity
Organization
Contact information
Practice address
1876 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4006
(314) 485-8600
(314) 485-1049
Mailing address
1876 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4006
(855) 485-8600
(314) 485-1049
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2014004392
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144441
PK
—
Enumeration date
11/15/2005
Last updated
01/15/2016
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