Organization
MEDIDOZ PHARMACY LLC
Active
Other names
Thrive Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALAN RICHARDSON (OWNER)
(301) 428-4400
Entity
Organization
Contact information
Practice address
23213 STRINGTOWN RD, CLARKSBURG, MD 20871-9363
(703) 554-7909
Mailing address
23213 STRINGTOWN RD, CLARKSBURG, MD 20871-9363
(301) 428-4400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339705000
—
MD
Enumeration date
12/18/2012
Last updated
06/02/2016
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