Organization
GENESIS APOTHECARY INC
Active
Other names
Rosh Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SEJAL SHAN (PRESIDENT)
(281) 203-7829
Entity
Organization
Contact information
Practice address
101 SOUTHWESTERN BLVD STE 100, SUGAR LAND, TX 77478-3548
(281) 203-7829
(713) 583-1802
Mailing address
101 SOUTHWESTERN BLVD STE 100, SUGAR LAND, TX 77478-3548
(281) 203-7829
(713) 583-1802
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149677
—
TX
Enumeration date
05/29/2020
Last updated
05/30/2020
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