Organization
GENESIS HEALTHCARE SYSTEM
Active
Other names
Genesis New Concord Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NORMAN (CFO)
(740) 454-4773
Entity
Organization
Contact information
Practice address
10 E MAIN ST, NEW CONCORD, OH 43762-1286
(740) 826-4000
(740) 826-4950
Mailing address
133 N MAYSVILLE AVE, ZANESVILLE, OH 43701-6112
(740) 454-5666
(740) 452-7563
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021736350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2784509
—
OH
01
—
3623281
N.C.P.D.P. #
OH
Enumeration date
05/28/2006
Last updated
09/20/2023
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