Genesis Pharmacy Corp

LBN: Genesis Pharmacy Corp
Genesis Pharmacy Corp is an health care organization with primary practice located at 31946 Mission Trl Ste A1 , Lake Elsinore CA 92530-4539. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Genesis Pharmacy Corp can be contacted via phone (951) 245-1373, or through Mosaad, Fady via phone (951) 245-1373.

Contact Information

Primary practice address
31946 Mission Trl Ste A1 Lake Elsinore CA 92530-4539
Phone: (951) 245-1373
Fax: (877) 489-1666
Website:
Map and Directions
Authorized official contact:
Name: Mosaad, Fady RPH
Phone: (951) 245-1373

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1790603512
LBN Legal business name Genesis Pharmacy Corp
DBA Doing business as
Authorized official Mosaad, Fady RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2026
Last updated Sep 24th, 2026 - about last month

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790603512 NPPES
California Other PHY57029 PHARMACY PERMIT

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