Organization
S AND J PHARMACY INC
Active
Other names
GENRICH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GENRICH DPH (OWNER)
(602) 257-1196
Entity
Organization
Contact information
Practice address
333 E VIRGINIA AVE, STE 120, PHOENIX, AZ 85004-1206
(602) 257-1196
(602) 257-0511
Mailing address
333 E VIRGINIA AVE, STE 120, PHOENIX, AZ 85004-1206
(602) 257-1196
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Y001871
AZ
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
001871
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0314714
OTHER ID NUMBER
—
05
—
30410501
—
AZ
01
—
332800000X
DME SUPPLIER
AZ
Enumeration date
08/10/2006
Last updated
04/29/2008
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