| NPI | 1467157651 |
|---|---|
| Doing Business As | SHRIVERS PHARMACY AND WELLNESS IV |
| Entity Type | Organization |
| Authorized Contact | ERIC BLAKE Chief Compliance Officer 740-452-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-12 |