| NPI | 1922557115 |
|---|---|
| Doing Business As | THRIVERX |
| Entity Type | Organization |
| Authorized Contact | CLARK LEVI Owner 228-218-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS 14941/1.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2017-03-06 |