Organization
THRIVE RX SPECIALTY PHARMACY CORPORATION
Active
Other names
Mydrexa Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYNA BLOM RPH (PRESIDENT)
(858) 726-2614
Entity
Organization
Contact information
Practice address
15644 POMERADO RD, SUITE 303, POWAY, CA 92064-2400
(858) 726-2614
(858) 312-1130
Mailing address
15644 POMERADO RD, SUITE 303, POWAY, CA 92064-2400
(858) 726-2614
(858) 312-1130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY51513
CA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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