Organization
GENVENTURES, INC
Active
Other names
Genesis FirstMed Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE MALAS (CFO, VICE PRESIDENT FINANCE)
(563) 421-4176
Entity
Organization
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-6366
(563) 421-6379
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 451-6513
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
1019
IA
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109470
—
IA
01
—
45247
WELLMARK
IA
Enumeration date
05/26/2006
Last updated
02/10/2022
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