| NPI | 1851024459 |
|---|---|
| Doing Business As | SHRIVERS PHARMACY AND WELLNESS #3 |
| Entity Type | Organization |
| Authorized Contact | ERIC B BLAKE Chief Compliance Officer 740-487-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-13 |