Organization
TESTFORTHAT, LLC
Active
Other names
Rejuvenx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ANDRES CANIPE (CHIEF OPERATING OFFICER)
(864) 325-9694
Entity
Organization
Contact information
Practice address
210 BRENDAN WAY, GREENVILLE, SC 29615-3515
(864) 325-9694
Mailing address
210 BRENDAN WAY, GREENVILLE, SC 29615-3515
(864) 325-9694
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
15121
SC
Other
Enumeration date
02/06/2014
Last updated
04/03/2014
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