Organization
GENESIS PHARMACY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORD MANION (OWNER)
(314) 485-8600
Entity
Organization
Contact information
Practice address
1878 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4006
(314) 485-8600
Mailing address
1878 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4006
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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