Organization
GENESIS PHARMACY
Active
Other names
not applicable
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULLIARD ESGUERRA PARUNGAO PHARMACY TECHNICIAN (OWNER)
(562) 920-2300
Entity
Organization
Contact information
Practice address
10504 E. ARTESIA BLVD., BELLFLOWER, CA 90706-6804
(562) 920-2300
(562) 920-2311
Mailing address
10504 E. ARTESIA BLVD., BELLFLOWER, CA 90706-6804
(562) 920-2300
(562) 920-2311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 44335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA443350
—
CA
Enumeration date
07/10/2006
Last updated
05/18/2009
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