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Genesis Pharmacy Corp

Pharmacy, Community/Retail Pharmacy in Lake Elsinore, CA. Organization (NPI-2).

NPI number1982169561
StatusActive
Last updated in NPPESSep 24, 2026

Details

NPI
1982169561
Entity type
Organization (NPI-2)
Legal business name
Genesis Pharmacy Corp
Organization subpart
No
Enumeration date
Feb 7, 2019
Certification date
Sep 24, 2026
Last updated
Sep 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Enova Care Pharmacy (Doing Business As)

Practice location

31946 Mission Trl Ste A1
Lake Elsinore, CA 92530-4539

Phone 559-358-5873

Mailing address

31946 Mission Trl Ste A1
Lake Elsinore, CA 92530-4539

Phone 951-245-1373 · Fax 877-489-1666

Authorized official

Fady Mosaad
Ceo
9512451373

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Retail Pharmacy providers in Lake Elsinore, CA

All 12 Community/Retail Pharmacy providers in Lake Elsinore · All 1,060 providers in Lake Elsinore

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