Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA INC
Other names
21C Pharmacy, GenesisCare Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA INC
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
8991 BRIGHTON LN STE 200, BONITA SPRINGS, FL 34135-7505
(239) 333-1700
(239) 333-0688
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH29594
FL
Other
Enumeration date
12/16/2015
Last updated
08/09/2023
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