Organization
THRIVE HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SCOTT LATTOS R.PH. (PHARMACIST/OWNER)
(608) 519-4622
Entity
Organization
Contact information
Practice address
831 CRITTER CT, SUITE 300, ONALASKA, WI 54650-8674
(608) 519-4622
(608) 519-4612
Mailing address
831 CRITTER CT, SUITE 300, ONALASKA, WI 54650-8674
(608) 519-4622
(608) 519-4612
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
9198-42
WI
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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