National Provider Identifier Database

THRIVE HEALTH CENTER PHARMACY
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

THRIVE HEALTH CENTER PHARMACY
831 CRITTER CT
SUITE 300
ONALASKA, WI54650-8674
Phone: 608-519-4622
Fax: 608-519-4612
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X

* Indicates primary specialty

NPI Profile & details for THRIVE HEALTH CENTER PHARMACY

NPI Number 1891132999
Legal business name
LBN
THRIVE HEALTH CENTER PHARMACY
Authorized official DAVID LATTOS - (PHARMACIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/29/2013
Last updated 05/29/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 9198-42

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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