| NPI | 1962777458 |
|---|---|
| Doing Business As | THRIVE COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIMI SHAROMI Owner 770-529-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009855) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2021-10-22 |