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.

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Contact Information

THRIVE HEALTH CENTER PHARMACY

831 CRITTER CT
SUITE 300
ONALASKA, WI 54650-8674

Phone: 608-519-4622
Fax: 608-519-4612
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for THRIVE HEALTH CENTER PHARMACY

NPI Number 1891132999

LBN Legal business name THRIVE HEALTH CENTER PHARMACY

Authorized official DAVID LATTOS - (PHARMACIST/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/29/2013

Last updated 05/29/2013 - About 13 years ago

Identifiers

License #

9198-42

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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